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2006, 10-03 Permit: P0607718 Sewer* * * SEWER PERMIT Applicant: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: PERMIT NO: Connection: Approval: 509 879 3420 P0607718 BL SPOKANE 41 i11 DEPARTMENT OF ENGINEERING SERVICES 808 W. SPOKANE FALLS BLVD. SPOKANE, WASHINGTON 99201-3343 (509) 625-6700 FAX (509) 625-6349/(509) 625-6124 www.spokaneengineering.org *** CONTRACTOR: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 Issued: 10/03/06 Completed: Project No: *0508444 Applicant hereby consents and agrees: 1. To adhere to all rules and regulations in accordance with Title 13.03 Spokane Municipal Code, City of Spokane REMARKS: Inspection area: 3 Proj#/Prof#: Sewer Name: STREET: Parcel No: Legal Desc: Inspector Validated by: DAL CHRON V(1)3 23-25-43 2004116 CHRONICLE AVE BL 1424 S CHRONICLE RD YA 35233.16130011 Right of Way: 60 WOODLAND TERRACE SOUTH I/2 OF LOTS 11 & 12 "Y -Tap": ' ENTERS PROPERTY: Depth/Pipe Size & Type: ENTERS BUILDING: Connection to Cess Pipe: Depth/Pipe Size & Type: Fee description Units Fee/Unit Easement: BLK 16 0 Ext fee Data Application Fee? Y> Inspection Fee? Y> ERU Surcharge (Input Amt)> Subtotal Inspection: TOTAL Fees > Method Check # CC 0003 TOTAL THIS DATE Receipt No. P6#05879 Date 10/03/06 ********* 40.00 Y 60.00 Y GFC 60.00 100.00 Payment 100.00 100.00