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2004, 10-20 Permit: PO407637 Sewer �/ n� � DEPARTMENT OF • Sl V��I 'L VL ENGINEERING SERVICES flas.41% 8s0038WN.SPOKANE BLVD. SPOKANE,WASHINGTONFALLS 99201-3343 (509) 625-6700 FAX (509)625-6349/(509) 625-6124 www.spokaneengineering.org *** SEWER PERMIT *** Applicant: DEVELOPER : LINDSEY CONSTRUCTION INC MDS SHULER INC P 0 BOX 30792 5813 E 4TH AVE SUITE 102 SPOKANE WA 99223 SPOKANE WA 99212 Phone: 509 879 3420 Phone: 462-3027 PERMIT NO: P0407637 Issued: 10/20/04 Connection: BL Completed: Approval: Project No: *0308046 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: DE Proj#/Prof#: 13TH A(2)2 23-25-43 2002110 Sewer Name: 13TH AVE BL STREET: 4 514 E 13TH AVE Parcel No: Right of Way: 60 Easement: 0 Legal Desc: Comments: APP FEE OF $30.00 COLLECTED ON PMSC P030616M "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? NA Subtotal Inspections: 50.00 Total Fees > 80.00 Method Check # Receipt No. Date Payment CK 232 P4#06023 10/20/04 80.00