2004, 09-13 Permit: P0406245 Sewer***
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
:P 0 BOX 30792
SPOKANE WA 99223
Phone:
PERMIT NO:
Connection:
Approval:
509 879 3420
P0406245
BL
an DEPARTMENT OF
SPOKANE, . ENGINEERING SERVICES
I P 1 808
POW.KANESPOWASHNKAEIFALLS N 99Bu o.
S, 201-3343
(509) 625-6700
FAX (509)625-6349/(509)625-6124
www,spoka ncengi necring.i rg
***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 09/13/04
Completed:
Project No: *0405360
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: DAL
Proj#/Prof#: CUSTE S(1)3 23-25-43 2004043
Sewer Name: LLOYD ST
STREET: 1202 S LLOYD ST YA
Parcel No: 35233.05060503 Right of Way:
Legal Desc: N 42' OF LOTS 1-2-3 BLK 5 AND S 30'
"Y -Tap": :
ENTERS PROPERTY:
Depth/Pipe Size & Type:
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type:
Fee description
Units
0 Easement:
OF VACATED 12TH AVE
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.
CK 220 P4#05029
TOTAL THIS DATE
Date
09/13/04
*********
30.00 Y
50.00 Y
NA
Y
50.00
80.00
Payment
80.00
80.00