2003, 12-12 Permit: P0307160 Sewer***
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone:
PERMIT NO:
Connection:
Approval:
509 879 3420
P0307160
BL
SPOKANE
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DEPARTMENT OF
ENGINEERING SERVICES
808 W. SPOKANE FALLS BLVD.
SPOKANE, WASHINGTON 99201-3343
(509) 625-6300
FAX (509) 625-6349/(509) 625-6124
www.spokaneengineering.org
***
DEVELOPER :
MDS SHULER INC
5813 E 4TH AVE SUITE 102
SPOKANE WA 99212
Phone:
462-3027
Issued: 12/12/03
Completed:
Project No: *0308047
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:
13TH A(2)2 23-25-43
13TH AVE
1306 S CUSTER ST
Right of Way:
"Y -Tap°: 1
ENTERS PROPERTY:
Depth/Pipe Size & Type:
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type: /
2002110
BL
CAR
60 Easement:
0
Fee description 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
CC
TOTAL THIS
Check # Receipt
0004 P3#07401
DATE
No. Date
12/12/03
*********
30.00 Y
50.00 Y
GFC
NA
50.00
80.00
Payment
80.00
80.00