2002, 04-26 Permit App: 02003021 SewerProject Number: 02003021 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/26/02 Page 1 of 2
Project Information:
1 -
Permit Use• SEWER CONNECTION - MIDILOME EAST 3RD Contact: LEXINGTON HOMES INC
Address: PO BOX 141749
C - S - Z: SPOKANE, WA 99214
Setbacks: Front Left: Right: Rear: Phone: (509) 924-1519
Group Name:
Site Information: Project Name:
Plat Key: 006185 Nanie MIDILOME EAST 3RD
District: F
Parcel Number: 45345.9125 Block: 4
SiteAddress: 5411 5 MCDONALD ST
SPOKANE, WA USA 00000
Location:: SP()
Zoning: UR -3.5
Water District.
Area. 10,500 Sq Et Width. 84
Nbr of 13ldgs: 1 Nbr of Dwellings' 1
Review Information: 1 -
Urban Residential 3.5
Lot:
Owner: Name
Address
LEXINGTON HOMES INC
PO 130X 141749
SPOKANE, WA 99214
1 -told: ❑
Depth: 125 Right Of Way (ft): 50
Review
Review by Utilities
Released I3y: a
(5k- To 155 vt/w 5 • I • toz
Permits:
Contractor: FOLSOM EXCAVATING INC
Address: 16701 E'ALLEYWAY AVE
VERADALE, WA 99037
Item Dcsci iption
SEWER CONNECTION
PROCESSING FEE
Server Connection Permit
Firm. FOLSOM EXCAVATING
Phone:
Units Unit Desc
Operator: CKE Printed By: CKF
NUMBER OF
Y OR BLANK
Permit Total Fees:
(509) 891-1232
Print Date:
Fee Amount
$85.00
$15 00
$100 00
4/26/02
Project Number: 02003021 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/26/02 Page 2 of 2
Notes: ,
Payment Summary: ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Disclaiurer:
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 CKF Printed By: CKF
Print Date: 4/26/02