2003, 10-20 Permit: P0306211 Sewer***
•-= SPOI
PP"I
1 , 1, , 11
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone:
PERMIT NO:
Connection:
Approval:
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
***
JOHN T. POWERS, JR.
MAYOR
DEVELOPER :
MDS SHULER INC
5813 E 4TH AVE SUITE 102
SPOKANE WA 99212
509 879 3420 Phone: 462-3027
P0306211 Issued: 10/20/03
BL Completed:
Project No: *0308050
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
1307 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 6530 P3#06315
Date
10/20/03
30.00 Y
50.00 Y
N
Y
50.00
80.00
Payment
80.00