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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