2004, 09-13 Permit: P0406253 Sewer* * *
SEWER PERMIT
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
PERMIT NO: P0406253
Connection: PL
Approval:
' ' �r DEPARTMENT OF
SPOKANE ENGINEERING SERVICES
P
1' 4 o�:WSe,rWwJ ON 90
]-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-6124
www.spokaneengincering.org
***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 09/13/04
Completed:
Project No: *0405864
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#:
Sewer Name:
STREET:
Parcel No:
Legal Desc:
CUSTE S(1)3 23-25-43 2004043
LLOYD ST
1214 S LLOYD ST YA
35233.05060512 Right of Way:
SOUTH 1/2 OF 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 # Receipt No. Date
CK 220 P4#05037 09/13/04
TOTAL THIS DATE *********
30.00 Y
50.00 Y
NA
Y
50.00
80.00
Payment
80.00
80.00