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2002, 09-11 Permit App: 02007858 SewerProject Number: 02007858 Inv: 1 Application Date: 9/11/2002 Page 1 of 2 THIS IS iNOT, A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Parcel Number: 44041.0616 Block: Lot: SiteAddress: 11605 E 48TH AVE SPOKANE, WA 99206 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 0 Sq Ft Width: 60 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Owner: Name: JOURNEY, DOUG Address: 11605 E 48TH AVE SPOKANE, WA 99206 Hold: ❑ Depth: 238 Right Of Way (ft): 50 Review Information: ........... Review nn Road Obstruction Released By. Permits: Sewer Connection Permit Contractor: SHORT SEPTIC SERVICE INC Firm: SHORT SEPTIC SERVICE INC Address: 3350 WH LIAMS RD E Phone: (509) 639-2393 ALMIRA WA 99103 Item Description Units Unit Desc Fee Amount SEWER CONNECTION 1 NUMBER OF $85.00 PROCESSING FEE 1 Y OR BLANK $15.00 Permit Total Fees: $100.00 Operator: DMD Printed By: DMD Print Date: 9/11/2002 Payment Summary: ry Permit I pe Fee Amount Invoice Amount Amount Paid Amount Owin-g Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: DMD Printed By: DMD Print Date: 9/11/2002