2004, 09-24 Permit: P0406914 Sewer***
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone:
PERMIT NO:
Connection:
Approval:
509 879 3420
P0406914
BL
SPOKANE
1�ii11
DEPARTMENT OF
ENGINEERING SERVICES
808 W. Sm K\\i F ii Bi •
SI't)KAN! , W, i n\(, i) r\ 9920)-3343
(509) h25-6700
FAX (509) 625-6349/ (500) 623-6 124
\\\\W,F,64mi rngmccrml oi
***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 09/24/04
Completed:
Project No: *0405340
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
1206 S CUSTER ST YA
35233.04010402 Right of Way:
S 50' OF THE N 92' OF LOTS 1 -2 -3-
"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 4
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. Date
CK 173 P4#05409 09/24/04
*********
TOTAL THIS DATE
30.00
50.00
50.00
80.00
Payment
80.00
80.00
Y
Y
GFC
Y