2004, 10-20 Permit: P0407636 Sewer***
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
PERMIT NO: P0407636
Connection: BL
Approval:
DEPARTMENT OF
SPOKANE VE ENGINEERING SERVICES
III4 1 8
08
W. SPOKANE FALLS BLVD.
SPOKANE, WASHINGTON 99201-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-6124
www.spokaneengineenng org
***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 10/20/04
Completed:
Project No: *0405862
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#: 13TH AVE AND END OF CULDESAC
Sewer Name:,LLOYD ST BL
STREET: 1212 S LLOYD ST YA
Parcel No: 35233.05060511 Right of Way:
Legal Desc: NORTH 1/2 OS LOTS 11 & 12 BLK 5
"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 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 232
TOTAL THIS DATE
Receipt No.
P4#06019
30.00 Y
50.00 Y
GFC
NA
50.00
80.00
Date Payment
10/20/04 80.00
********* 80.00