2004, 09-24 Permit: P0406906 Sewer***
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
7
LaJ�� DEPARINIENT OF
SPOKANE ENGINEERING SERVICES
P/=1 808 ,', E,WAF: .Ri9n
SPOKANE, SPOKANE Off S \ I S 99201-334
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(509) 625-6700
FAX (509) 625-63-10/(509) 625-612
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11 ***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420 Phone: 509 879 3420
PERMIT NO: P0406906 Issued: 09/24/04
Connection: BL Completed:
Approval: - Project No: *0405357
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#: CUSTE S(1)3 23-25-43 2004043
Sewer Name: LLOYD ST BL
STREET: 1205 S LLOYD ST YA
Parcel No: 35233.04010405 Right of Way: 0 Easement: 0
Legal Desc: S 50' OF THE N 92' OF LOTS 4-5-6 BLK 4
"Y -Tap": '
ENTERS PROPERTY:
Depth/Pipe Size & Type: /
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type: /
Fee description 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 173 P4#05401 09/24/04 80.00
TOTAL THIS DATE ********* 80.00