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2007, 10-09 Permit App: 07007050 SewerOct 03 2007 4:39PM SPOKANE#COUNTY#UTILITIES 4777178 10/03/2007 14:44 5098921208 LEXINGTON SEP 08 2004 10i49AH HP LASERJET 3200 Spabeat Canty Diviwfoa d Utilites SEWER CONNECTION PBRMIT APPLICATION FORM '(.EASE NOM, Tloie op$iaeon fora moa be Wkd out ateuntel7 and In a mercy, end oral. or. K War tram d. pSc'a * amain +y. " 114 fix 12 monde form the daft of Mom=A atpareee da lel'' ray pant b aye required for stee rtatesed as bnmot plumbing .nd Aerie re44 mph= Mont pawn' • 'AWE sr IlNPORMASfION p.1 PAGE 02/03 p. 2 ieb Pane Nambec Projera Nein ULM Name 1 JO•oeltmplex nUb, 1 No mss r chs.4.190KnNnMLA' pheSt - 1511 Dcf Se.ee 0 o Addition O Abandonment o ;I 0 Nee a Temporary • FIHST TIb03 00N7'RACIOBS oA Han 097KBPS Par 0%011301121118 IHgTA1 LATION mtIR7 ran cornea THE =rams rislaaamossrov?(s)'c.}fgssusAFA. GFFGFo¢," --! aso sxcnATuatrnuintsofvtaoNPHl2oNobiris rBDK.d' Idler 0//3/e7 �{I. Cm+�.+ed(- .e•l: 4.a. aoamanoe frmee.a�e-. c x c. , . 1 W,a Zp �,n"" (fin Q �l1v,m N.L—u Buena eddrersj c p `ha' S;ay� t �ti-S OTRf (�i �1,h�� '/j�� Coe Name /; /} �7.'{�j�� { eILP 7 t R -.I i LNlSr' arc -a 1 "'!.`C' PAeot rhmdK _ _. l:'�,.`r - V a `(t -- -- INTERIOR PLUMBING ALTERA'IYGb f0as One RV«eul eie s. fr tie thkr.J .._. G • 0 Caret! 0 CM of;palma Volk? Contactor Oct deems from 'lee): Phone Henries' Add.ts City/Sntr/Zip `h r.Iif .WORMATION ' ?traitotBradangs tmaeetieS eo mitt X(tmtd) $100 (peibldg SIT •' + ilo• m na'+tvwar*oaeA•.oam n-.d'/•Mia'1rarradd:.:4eera+ia.la.R w aneomarlor.igyanralam ra.ra.ak...pooh/ nierkeder anearrodc • • lame sale lady Mkal teen or free e l d/c.eeaM anepn,4i lee' lava Knww;rdeatdaenda4w6elaa encu ameae seherese.eee yea .an ' a01tSIMATIONS NOT gngt® fBal. CAlLIUE a 'rYUIVICION OPUTIU2 AT 07-304 .Is Qay of &e,vro* to be pctfoated 3a or from the e6 760-e AJ APPUCA3'Ir=means; lic tight•akm?CIYee No • eapokene Valley DJ'Th 1_013/197 Method) anstymerta: Unarm C.aed Dat( EtpitcT BarOkenn Namhct" - ... Adlbodacd ' RECEIVED BY CITY OF SPOKANE VALLEY OCT 0 9 2001 sPle Ma"( • &Gs°Hdwaaea* RMIT CENTER