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1999, 11-16 Permit App: 99011100 SewerProject Number: 99011100 Inv: 1 Application THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Date: 11/16/19 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION - SHELLEY LAKE Contact: LEXINGTON HOMES INC Address: 12218 E NEZPERCE LN Setbacks: Front Left: Right: Rear: C - S - Z SPOKANE, WA 99206 Phone: (509) 924-1519 Site Information: Plat Key: 005862 Name: SHELLEY LAKE District: F Parcel Number: 45242.1306 SiteAddress: 528 S SHELLEY LAKE LN Owner: Name: LEXINGTON HOMES INC VERADALE, WA USA 9903 Address: 12218E NEZPERCE LN Location:: VER SPOKANE, WA 99206 Zoning: UR -3.5 Water District: Urban Residential 3.5 Hold: ❑ Area: 10,174 Sq Ft Width: 70 Depth: 145 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department UTILITIES Comments: Permits: Review Sewer Review Contractor: UNKNOWN Address: UNKNOWN UNKNOWN, WA UNKNOWN Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: CKF Permit Type Sewer Permit Sewer Permit K APAz SA -c- - ©4-12- Q% ti - -17 Finn: UNKNOWN Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Printed By: CKF Print Date: 11/16/1999 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 Notes • OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3 THROUGH 10 & 1, 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS I THROUGH 4 BLOCK 5 - LOTS 2 THROUGH 6 & 19 BLOCK 6 - LOTS 1 THROUGH 10 $0.00 $100.00