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2007, 10-04 Permit App: 07007015 SewerSep 20 2007 5:O1PM SPOKAMEIICOUNTY#UTILITIES 4777178 ' 09/20/2007 15:28 5098921208 LEXINGTON p.2 PAGE 02/03 SEP 08 2004 10:4589 HP LASERJET 8200 RECEIVED B'i.z SpokoneCounty Division ofUti& CITY OF SPOKANE VALLEY SEWER CONNECTION PERMIT APPLICATION FORM PLEAS , ND7R The p gatioq form Heart be Med an 'morn and in is entirety, and ailed, -. permirt a,i .. be iQieUT'4Vela" 2IJfs' Le n14 Far 12 encodes tb= the date of isionnee. A saran dghMMny perms is piked far ware* peefwanat in az from the Mit e1gN-Mary. ai.aearl ttmtir1and ekebicdwoA =trios sensate panua PER IT CENTER 3e53 420 31401) • PROJECNNPORldATION BY: oaeeetal»LExi kir Ai r-ornSs xrk : PD •e )x 11400 CSgrsmea '00O KA N :, EDA. 14,21; Pboec gig 150 • Mtn Ea16 CONTRAGIDRS OR HOMBOWMERS reetroncgs TT181NSTN►ATION MOST FIRAT CONTACT Eli VTILITIR0110RTSION IRFOREPIROOM4 wa!E+mn+ FC FOR�M5i& tn. S1�JATURE OF yrnin s DmPfl»acei OONTACFEa T p 1:4-4A41") "Zeta 7 .. . Coowee+oefn�sw.e* t: Datmm .aaLL�,.� l�1G//AvTifiE Sseaseemembe. iC''6x�U 4(�)I.J 11/aFP ho eQLP002(HI Coma Ninon chrnaw---$ eeZPAW/ l �—_hbP (IF-- Lib PIttne INTERIOR PLUMBING ALTERATIONS? Ora€5 plde one Ietfiwdhnitkt.. ei.. ire $.Mh fl(I —� C • D Cooney ❑ City ofpoip ae Viiky Conoaetot €f thermal: faomabove): &dnaa Addax: cuyrsatenin re. a..�... .....,.1... .EIr2,-,,tr H3h� 4 l< 7NEaSATION NaaoberayBenEarap/�aaimeeaioS bseav X (ilaen(pbU� (Sena) $100 a=sL` 71 nYOItMKeDIM1YCQeMYAY REMIT . • Fen/Wad/9 aa�wddtiLaatrema i+ fat • • The ••••ecinblien,ad.wt dapgtdpa waagaa•ffi•eptse••sed}( dwidh/kt 11•144r•ASw rd apeN.ip uspain tquited p.•ddes WPM • Reagk bai*'Cdgk+. ailaaw F•rphriASOcancsid wepe.w r wed • Matiebaiiw4r-__.sdesttceopkag vdeieee•euap aapm.epgdeipat.Ngm•a •Oo dsaa•e. • WOR rnsstnONS Hon ocinwa HBRE.cannacourt arnston ortrraIIESAX OAsae4 1<s aery of the sock to be pa/loaned it or livid the , , ; right-of-way? 0 Yes 0 No APP•LICANr SIGNATURE, aESpofane Valley _Mixt et mlize DATE: 2M/12 .Me bod eE Prgeeat a Cut a 060k . a Val • 4 'MaateaCaad 0 Disarm Cad' Date: 11titkcAtcp•Rmibe4 • ... Adtated .1 ..