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2001, 08-24 Permit App 01007262 Seweri Project Number: 01007262 Inv: 1 Application Date: 8/24/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: SEWER CONNECTION - VALLEY VISTA Setbacks: Front Left: Right: Rear: Contact: Project N Site Information: SHELE/COURCHAINE CONSTR Address: 19818 E SPRAGUE C - S - Z: GREENACRES WA 99016 Phone: (509) 924-5485 Group Name: $100.00 ame: Plat Key: 001812 Name OBERLIN TERRACE SUB District: F Parcel Number: 45171.1322 Block: Lot: SiteAddress: 10505 E DESMET AVE Owner: Name: VE, ARON SPOKANE, WA 99206 Address: 10505 E DESMET AVE Location:: SPO SPOKANE, WA 99206 Zoning: UNKN Unknown Water District: Hold: ❑ Area: 0 Sq Ft Width: 84 Depth: 124 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review ENGINEER Road Obstruction Hold Reasons: _ Permit Conditions: %IDS3 �t -T Permits: Released By: Sewer Connection Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846 GREENACRES, WA 99016 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 Pavment Summa Operator: JAS Printed By: JAS Print Date: 8/24/01 Permit T)Te Fee Amount Invoice Amount Amount Paid Amount Owine Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Notes: