2004, 10-20 Permit: PO407643 Sewer** *
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
PERMIT NO: P0407643
Connection: BL
Approval:
Eillismommui DEPARTMENT OF
SPOKANE ENGINEERING SERVICES
IIP
p MI A 8s0p08KWAN. SEWASHINGTON 99201-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-6124
www.spokaneengineering.org
* * *
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1 I 1 )
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 10/20/04
Completed:
Project No: *0405353
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: 4
Proj#/Prof#:
Sewer Name:
STREET:
Parcel No:
Legal Desc:
Inspector
Validated by: DAL
CUSTE S(1)3 23-25-43 2004043
CUSTER ST BL
1201 S CUSTER ST YA
35233.03020306 Right of Way: 0 Easement:
N 42' OF LOTS 4-5-6 BLK 3 AND 8 30' OF VACATED 12TH ST
"Y -Tap": '
ENTERS PROPERTY:
Depth/Pipe Size & Type:
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type:
Fee description
/
Units Fee/Unit
0
Ext fee Data
Application Fee? (Y/N)
Inspection Fee? (Y/N)
ERU Surcharge (Input Amount)>
Was Annexation Covenant Signed?
Subtotal Inspections:
Total Fees
Method Check # Receipt No.
CK 232 P4#06015
TOTAL THIS DATE
Date
10/20/04
*********
30.00 Y
50.00 Y
GFC
Y
50.00
80.00
Payment
80.00
80.00