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2001, 04-23 Permit App: 01002769 SewerProject Number: 01002769 Inv: 1 Application Date: 4/23/01 Page 1 of 2 THIS IS NOT A. PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - SOUTH PONDEROSA Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 001742 Name: MYRON ESTATES #6 Parcel Number: 44042.1503 Block: SiteAddress: 10805 E 47TH AVE SPOKANE, WA 99206 Location:: SPO Zoning: SFR Water District: Area: 0 Sq Ft Width: 150 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: ;.,, -,,, Department UTILITIES Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: Permits: Review Review by Utilities Road Obstruction Contractor: NORM'S EXCAVATING Address: PO BOX 574 VERADALE, WA 99037 Item Description SEWER CONNECTION PROCESSING FEE Contact: NORM'S EXCAVATING Address: P.O. BOX 574 C - S - Z: VERADALE, WA 99037 Phone: (509) 928-0580 Group Name: Project Name: District: Lot: Owner: Name: LAIRD, KENNETH & CYNTHI Address: 10805 E 47TH AVE SPOKANE, WA 99206 Hold: (_,1 Depth: 290 Right Of Way (ft): 0 Released By: `-' 1 r 1 Released By: Sewer Permit Firm: NORM'S BOBCAT SERVICE Phone: (509) 928-0580 Units Unit Desc Fee Amount I NUMBER OF $85.00 1 Y OR BLANK $15.00 Permit Total Fees: $100.00 -4?3 —o/ Project Number: 01002769 Inv: 1 Application THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Date: 4/23/01 Page 2 of 2 Payment Summary: Operator: MKC Permit Type Sewer Permit Notes: Printed By: MKC Print Date: Fee Amount $100.00 $100.00 Invoice Amount $100.00 $100.00 4/23/01 Amount Paid Amount Owing $0.00 $100.00 $0.00 $100.00