2004, 09-01 Permit: P0406109 Sewer* * *
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
SPOKANE
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DEPARTMENT OF
ENGINEERING SERVICES
808 W. SPOKANE FALLS BLVD.
SPOKANE, WASHINGTON 99201-3343
(509) 625-6700
FAX (509) 625-63491(509) 625-6124
www.spokaneengineering.org
* * *
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420 Phone: 509 879 3420
PERMIT NO: P0406109 Issued: 09/01/04
Connection: BL Completed:
Approval: Project No: *0405337
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#:
Sewer Name:
STREET:
Parcel No:
Legal Desc:
CUSTE 5(1)3 23-25-43 2004043
CUSTER ST BL
1210 S CUSTER ST YA
35233.04010401 Right of Way: 0
S 36' OF LOTS 1-2-3- BLK 4 AND VACATED ALLEY
Easement:
"Y -Tap":
ENTERS PROPERTY:
Depth/Pipe Size & Type:
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type:
Fee description
0
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 211 P4#04874 09/01/04 80.00
TOTAL THIS DATE ********* 80.00