1999, 12-13 Permit App: 99011802 Sewer Project Number: 99011802 Inv: 1 Application Date: 12/13/19 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-MIDILOME EAST 1ST Contact: LEXINGTON HOMES
Address: 12218 NEZ PERCE LN
Setbacks: Front Left: Right: Rear: C-S-Z SPOKANE WA 99206
Phone: (509)924-1519
Site In formation:
Plat Key: 005828 Name: MIDILOME EAST 1ST ADD District: F
Parcel Number: 45342.0601
SiteAddress: 13004 E 34TH AVE Owner: Name: LEXINGTON HOMES INC
SPOKANE,WA USA 99206 Address: 12218 E NEZ PERCE LN
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,877 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
UTILITIES Review by Utilities
Comments:
Permits:
Sewer Permit
Contractor: LEXINGTON HOMES Firm: LEXINGTON HOMES
Address: 12218 E NEZ PERCE LN Phone: (509)922-9870
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 12/13/1999
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Notes:
DO NOT ISSUE SEWER PERMITS WITHOUT APPROVAL OF UTILITIES PER ROGER
12/3/97 OK TO ISSUE SEWER PERMITS FOR PORTIONS OF PLAT-SEE MAP IN PLAT
FILE PER BILLY 4/24/98
OK TO ISSUE SEWER PERMIT FOR LOT 2-BLOCK 3 ONLY PER MIKE FLUGEL 9/30/98
Spokane County )ivi::ion of Utilities
SEWER CONNECTION PERMIT
APPLICATION FORM
PLEASE NOTE: This application form must be filled out accurately and in its entirety,and signed,or a permit will not be issued.
Also note that sewer permits are valid for 12 months from the date of issuance. No extensions will be granted.
PROJECT INFORMATION
Job address: Dry Line ers name:
34-03 5. Sewer? (Y(J) 17t.) earth..
City: ‹S (L)E City/Sta
Zip: '1 12-SCO Zip: 97,3a
Parcel number(if known): Phone:
92-,4-4577
First-time contractors or home-owners performing the installation must first contact the utilities department(in person or via phone
[456-3604])before a permit can be issued
Name of Utilities Division person contacted:
CONTRACTOR INFORMATION
Contractor (company name): State contractor license number:
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Business address: Contact Name:
City/State:
Zip: Phone: Phone: 7 /--/&32J 979"lo 2
INTERIOR PLUMBING ALTERATIONS? (yes/no) Circle one
Fill out the information in the table below if applicable**
Contractor (if different from above): Phone:
Business Address: City/State/Zip:
**Far plupnbbing reversal,;fee information ;ee reverse side of this form.
FEE INFORMATION
Sewer Connection: Number of Buildings / X(times)$100(per bldg) = $ l
TOTAL FEE
• For a single-family residential unit, one permit is required;
• For a condominium, townhouse, duplex,triplex or fourplex with separate ownership(as determined by lot lines)separate
address and separate stub, one permit is required per address per stub;
• For a single building duplex,triplex or fourplex with single ownership, one permit is required
• Multiple buildings(apartments, industrial complexes)with single ownership, one permit required per building connecting to
the sewer.
(For situations not covere here,call the Cmy Division of Utilities @ 456-3604)
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APPLICANT SIGNATURE:( % ..` — y _ ,,�._. Date: / /c2
Return to:
Spokane County Division of Building er Planning
West 1026 Broadway Avenue*Spokane, Washington 99260
PHONE:(509)456-3675 *FAX:(509)324-3198*TDD:(509) 324-3166
Spokane County does not duetttunate on the bans of dtabthty m the edmmon to,of treatment ct employment tn,its ptogxams no'comae:, is/u/«.\o.e.n1..+oF