2004, 09-13 Permit: P0406254 SewerSEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
PERMIT NO: P0406254
Connection: PL
Approval:
SPOKANE
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DEPARTMENT OF
ENGINEERING SERVICES
808 W. SI'OKANE FALLS BLVD.
SPOKANE, WASHINGTON 99201-3343
(509) 625-6700
FAX (509)625-6349/(509)625-6124
wwws po ka necngmcen ng.org
***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
q-�3-0y
Issued: ^4
Completed:
Project No: *0405359
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
Proj#/Prof#: CUSTE S(1)3
Sewer Name:
STREET:
Parcel No:
Legal Desc:
23-25-43 2004043
LLOYD ST
1206 S LLOYD ST YA
35233.05060502 Right of Way:
S 50' OF THE N 92' OF LOTS 1-2-3
"Y -Tap": '
ENTERS PROPERTY:
Depth/Pipe Size & Type:
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type: /
Fee description Units
Inspector
Validated by: DAL
0
BLK 5
Easement: 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 #
CK 220
TOTAL THIS DATE
Receipt No. Date
P4#05038 09/13/04
*********
30.00
50.00
50.00
80.00
Payment
80.00
80.00
Y
Y
N
Y