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2002, 06-18 Permit App 02004888 SewerProject Number: 02004888 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: .......................................:....:.:::.:.:....:......... Permit Use: SEWER CONNECTION - PONDEROSA Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 001743 Name: MYRON ESTATES NO 8 Date: 6/18/2002 Page 1 of 2 Contact: VISTA CONSTRUCTION & DEV Address: 3420 N. TSCHIRLEY RD C - S - Z: SPOKANE, WA 99216 Phone: (509) 926-2243 Group Name: Project Name: District: D Parcel Number: 44042.2008 Block: SiteAddress: 10820 E FERRET DR SPOKANE, WA 99206 Location:: SPO Zoning: UR-3.5 Water District: Urban Residential 3.5 Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Lot: Owner: Name: SOFIO, GREG Address: 10820 E FERRET DR SPOKANE, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Road Obstruction Permits: Contractor: VISTA CONSTRUCTION & Address: 3420 N TSCHIRLEY RD #1 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Released Big. Sewer Connection Permit Firm: VISTA CONSTRUCTION & DEV Phone: (509) 926-2243 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15,00 $100.00 Operator: RMB Printed By: RMB Print Date: 6/18/2002 Project Number: 02004888 Inv: 1 Ap hi ion Date: 6/18/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: : >:.......................... . Payment Summary: Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $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 contrued 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: RMB Printed By: RMB Print Date: 6/18/2002