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2004, 04-15 Permit: P0401911 SewerT0'BO d £T0T+2PP 60S * * * SEWER PERMIT Applicant: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: PERMIT NO: Connection: Approval: 6t7:11 P00? 91 Ndti PMMEOOMMOMM DITAIUMFN'I'f)F SPOKANE ENGINEERING SI I4vIci:N MR W. Svtnc.tNI, FALLS BI.t t>. Si'% K\Nr. MIIINtitn.t)t)2Oi-3343 (5U9) 625-630i) FAX (.5U9) 625-634V/15N) (t'S-6)24 www. pokuni nginevring.tttg * * * CONTRACTOR: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 509 879 3420 Phone: 509 879 3420 P0401911 Issued: 04/15/04 BL Completed: Project No: *0308048 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: Proj#/Prof#: Sewer Name: STREET: Parcel No: Legal Desc: DAL 13TH A(2)2 23-25-43 2002110 13TH AVE BL 1302 S CUSTER ST Right of Way: 60 Easement: Comments: APP FEE OF $30.00 COLLECTED ON PMSC P030616M "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) > Inspection Fee? (Y/N) > ERU Surcharge (Input Amount)> Was Annexation Covenant Signed? Subtotal Inspections: Total Fees Method Check # Receipt No. CK 5254 P4#01846 Id WkLV:TT P00? 91 'adu Date 04/15/04 30.00 Y 50.00 Y NA Y 50.00 80.00 Payment 80.00 £T0T+2PP 60S: '0N Xdd : WONd