2004, 09-24 Permit: P0406918 Sewer***
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone:
PERMIT NO:
Connection:
Approval:
509 879 3420
P0406918
BL
SPOKANE
Pr -'1
DEPARTMENT OF ' •
ENGINEERING SERVICES....
808 W. Srok \NI F \I I BI \ i,.
SpOK \NF, W \H II\c, c )\ 99201-3343
(509) 625-670(1
FAX (509) 625-6349) / (500) 62=i -h 124
www.-Tok,Inccilginecrim/,' (d-4
***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 09/24/04
Completed:
Project No: *0405351
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:
CUSTE S(1)3 23-25-43 2004043
CUSTER ST BL
1205 S CUSTER ST YA
35233.03020305 Right of Way:
S 50' OF THE N 92' OF LOTS 4-5-6
"Y -Tap":
ENTERS PROPERTY:
Depth/Pipe Size & Type:
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type: /
Fee description Units
Inspector
Validated by: CAR
0
BLK 3
Easement:
0
Fee/Unit 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 173 P4#05413
TOTAL THIS DATE
Date
09/24/04
*********
30.00
50.00
50.00
80.00
Payment
80.00
80.00
Y
Y
GFC
Y