2002, 07-12 Permit App: 02005832 Sewer � r
Project Number: 02005832 Inv: 1 Application Date: 7/12/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-MIDILOME EAST 3RD Contact: LEXINGTON HOMES
Address: PO BOX 141749
C-S -Z: SPOKANE,WA 99214
Setbacks: Front Left: Right: Rear: Phone: (509)924-1519
Group Name:
Site Information: Project Name:
Plat Key: 006185 Name: MIDILOME EAST 3RD District: F
Parcel Number: 45345.9125 Block: 5 Lot: 1
SiteAddress: owmr. Name: LEXINGTON HOMES
SPOKANE,WA USA 99216 Address: PO BOX 141749
Location:: SPO SPOKANE,WA 99214
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 90 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Review by UtilitiesReleased By: fp ^ • /74?,^,.,
Permits:
Sewer Connection Permit
Contractor: LEXINGTON HOMES Firm: LEXINGTON HOMES
Address: P 0 BOX 141749 Phone: (509)924-1519
SPOKANE,WA 99214
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
Operator: DMD Printed By: DMD Print Date: 7/12/2002
4 1,
Project Number: 02005832 Inv: 1 Application Date: 7/12/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 7/12/2002