2006, 06-28 Permit App: 06004410 Sewer Jun 28 2006 9: 44RM SPOKANE#COUNTY#UTILITIES 4777178 p. 1
86/29/2006 09:13 5098921208 LEXINGTON PAGE 02/03
SEP 08 2004 10:49AN HP LASERJET 3200 p.2
Spokaate Calmly AEvitioa of Utroddi
SEWER CONNECTION PERMIT APPLICATION FORM
PEASE 14011t nig app5comien(aeon"opal be NW out accumtelr mut in is entisrty,and Arai,or r permit tea dot be bawd. Sewer remelt"esc•04
for 12 raondle Co=the date of Weise" A alpaca=elg10-arowny remit is rewind for my eimorfe perfeoreed:p we ban dee public Fight-of-e y.
pP hardier pivoting and electricei writ'equine"oiwsds permits.
a ECT INFORMATION
job,Addrese Mi= M! 1 j Chmait ?l<I..L1. J!►7'1 G` K .
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E INFORMATION.
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ppecoE tower marrow erwrrwat
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(IIOR SrIUa.rsoe S NOT Comma Hsu,CALL MB COMA0'YDJVPS ON 4P vratams"tie lrt-wap
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APPLICANT SIGNATURE __„_ DAITs: . ._—
Meekod of Payment •
p )Y)6scvwar Card
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07/10/2006 12:31 5098921208 LEXINGTON PAGE 01/02
Fax Transmittal
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DATE: -7/drX, _o
4 Ne
Number of pages including cover sheet '
FROM:
TO: Dave Nerren /Brian /Julan /Eric
-�-� Dave King/Jamie/ David Keenan / Erin
COMPANY:
/.!•/: A > _ Lexington Homes Inc.
AMP P.O. Dox 141749
PHONE: Spokane, WA 99214-1749
PHONE #: (509) 924-1519
FAX #: 0,337
FAX#: (509) 892-1208
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2-111°.E"
THE 10 2006 12:52 5098921208 PAGE.01