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2002, 07-17 Permit App 02006024 SewerSite Information: Plat Key: 001743 Name: MYRON ESTATES NO 8 Project Number: 02006024 Inv: 1 ,' Application THIS IS NOT A PERMIT Date: 7/17/2002 Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION ,8 VTiNE 44-1"..._ Contact: eondGeasq Address: C - S - Z: Setbacks: Front Left: Right: Rear: Phone: Group Name: Project Name: Page 1 of 2 VISTA CONSTRUCTION & DEV 3420 N. TSCHIRLEY RD SPOKANE, WA 99216 (509) 926-2243 District: F Parcel Number: 44042.2011 Block: SiteAddress: 10906 E FERRET DR SPOKANE, WA 99206 Location:: SPO Zoning: UR-3.5 Water District: Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Road Obstruction Urban Residential 3.5 Lot: Owner: Name: GIFFORD, ROBERT Address: 10906 E FERRET DR SPOKANE, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Released By: Aasc.s59 Review by Utilities Permits: Released By: Contractor: VISTA CONSTRUCTION & Address: 342(1 N TSCHIRLEY RD #1 SPOKANE, WA 99216 Item Description SF WF,R CONNECTION PROCESSING FEE Sewer Connection Permit Firm: VISTA CONSTRUCTION & DEV Phone: (509) 926-2243 Units Unit Desc 1 NUMIlFR OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Operator: RMB Printed By: RMB Print Date: 7/17/2002 Project Number: 02006024 Inv: 1 r g Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary: Permit Type Sewer Connection Permit Date: 7/17/2002 Page 2 of 2 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: 7/17/2002