1999, 10-13 Permit App: 99009779 Sewer Project Number: 99009779 Inv: 1 Application Date: 10/13/19 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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Permit Use: SEWER CONNECTION-MIDILOME EAST Contact: LEXINGTON HOMES
Address: 12218 NEZ PERCE LN
Setbacks:Front Left: Right: Rear: C-S-Z SPOKANE WA 99206
Phone: (509)924-1519
Site Information:
Plat Key: 005622 Name: MIDILOME EAST i S_ NAN District: F
Parcel Number: 45342.0411 Lo-i- 11 131-14--'3
SiteAddress: 13005 E 34TH AVE Owner:Name: LEXINGTON HOMES
Spokane,WA USA 99206 Address: P.O.BOX 141749
Location::SPO SPOKANE,WA 99214
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: 0
Area: 11,025 Sq Ft Width: 101 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: „.... ............•....._.
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Department Review
UTILITIES Review by Utilities Ole-, T, 0 k 55LAt. L€5a-1-2_ M c1 , L
115 S'ibNE'p. C � 1 7/i 3/q9
Comments: /
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
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Operator: RMB Printed By: RMB Print Date: 10/13/1999
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: tamittatmamaxemmattatataktauta , v. :: K mm: :;; .::«.
OK TO ISSUE SEWER PERMITS IN PHASE I ONLY SEE FILE FOR MAP OF PHASE I.PER
BILLY 4/24/98
- Spokane County Division of Utilities
• SEWER CONNECTION PERMITCf
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 Owner's name:
/3 005- E. 3 71 Sewer? (Y/N) -7-0/1 /64-.-.1„s
City: '' O City/State:
Zip: Zip:
Parcel number(if known): Phone:
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:
*2-420 fi
Business address: Contact Name: �---
City/State: /4'i4" i
Zip: Phone: Phone:
INTERIOR PLUMBING ALTERATIONS? (yes/no) circle one
Fill out thein ormation in the table below i a licable**
Contractor (if different from above): Phone:
Business Address: City/State/Zip:
**For lumbin reversal ee rrt trvn eeret rseside u tin orm
p. .::....g .:._ f f..
FEE INFORMATION
Sewer Connection: Number of Buildings / X(times)$100(per bldg) _ $
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 ' single ownership, one permit is required
• Multiple buildings(apartments, industrial com; F's)with single ownership, one permit required per building connecting to
the sewer.
(For situations not co ' -, here, call the County Division of Utilities @ 456-3604)
APPLICANT SIGNATURE: . Date: /1-r//
Realm to:
Spokane County Division of Building&Planning
West 1026 Broadway Avenue*Spokane, Washington 99260
PHONE:(509)456-3675 *FAX:(509)324-3198*TDD:(509)324-3166
Spokane County does not dtsattntnate on the bases of dtabthty in the adnumon to,or treatment or employment in,in ptoppnts or'armee to/U/M.',