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2004, 01-20 Permit: PO400161 Sewer
CI T7TV 0 F DEPARTMENT OF SPOKANE ENGINEERING SERVICES il ', �, 808 W SPOKANE FALLS BLVD. SPOKANE,WASHINGTON 99201-3343 (509) 625-6300 '��\�� FAX(509) 625-6349/(509)625-6124 �l >> � )) ' www.spokaneengineering.org *** SEWER PERMIT ' 1 " ) ) l ) *** 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: P0400161 Issued: 01/20/04 Connection: BL Completed: Approval: Project No: *0308043 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: CAR Proj#/Prof#: 13TH A(2) 2 23-25-43 2002110 Sewer Name: 13TH AVE BL STREET: 4 610 E 13TH AVE Parcel No: Right of Way: 60 Easement: 0 Legal Desc: "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 Y50.00 Y Inspection Fee? (Y/N) > C ERU Surcharge (Input Amount) › GFGF Was Annexation Covenant Signed? NA 50 .00 Subtotal Inspections: 80 .00 Total Fees > Method Check # Receipt No. Date Payment CK 2517 P4#00203 01/20/04 80 .00 TOTAL THIS DATE ********* 80 .00