2004, 09-24 Permit: P0406910 Sewer* * *
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
orEEKEN:=3 D EPA ffr M ENT OF
SPOKANE, F.
—NGINEERING SERVICLS
'1
808 W. Siuk \\I F \M.
SPOK W 00201-3343
(509) 625-h7()(1
FAX (509) 625-h3491 (50)) b25-tH 24
www,Tokmlucligmccrm4,
* * *
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420 Phone: 509 879 3420
PERMIT NO: P0406910 Issued: 09/24/04
Connection: BL Completed:
Approval: Project No: *0405352
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 Inspector
Validated by: CAR
Proj#/Prof#: CUSTE S(1)3 23-25-43 2004043
Sewer Name: CUSTER ST BL
STREET: 1202 S CUSTER ST YA
Parcel No: 35233.04010403 Right of Way: 0 Easement: 0
Legal Desc: N 42' OF LOTS 1-2-3 BLK 4 AND S 30' OF VACATED 12TH
"Y -Tap": '
ENTERS PROPERTY:
Depth/Pipe Size & Type:
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type:
Fee description Units Fee/Unit Ext fee Data
Application Fee? (Y/N) > 30.00 Y
Inspection Fee? (Y/N) > 50.00 Y
ERU Surcharge (Input Amount)> GFC
Was Annexation Covenant Signed? Y
Subtotal Inspections: 50.00
Total Fees > 80.00
Method Check # Receipt No. Date Payment
CK 173 P4#05405 09/24/04 80.00
TOTAL THIS DATE ********* 80.00