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2004, 10-20 Permit: PO407641 Sewer DEPARTMENT OF SPONTE ENGINEERING SERVICES PPPq 808 W.SPOKANESPOKAWASHINE FALLSNGTON BLVD. , 99201-3343 (509) 625-6700 FAX (509) 625-6349/(509) 625-6124 )))) www.spokaneengineering.org *** SEWER PERMIT *** Applicant: CONTRACTOR: LINDSEY CONSTRUCTION INC M D S SHULER INC P 0 BOX 30792 5813 E 4TH AVE STE 102 SPOKANE WA 99223 SPOKANE WA 99212 Phone: 509 879 3420 Phone: 000 000 0000 PERMIT NO: P0407641 Issued: 10/20/04 Connection: BL Completed: Approval: Project No: *0310057 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: DAL Proj#/Prof#: 13TH A(2) 2 23-25-43 2002110 Sewer Name: 13TH AVE BL STREET: 4 715 E 13TH AVE Parcel No: Right of Way: 0 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 Y Inspection Fee? (Y/N) > 50.00 Y ERU Surcharge (Input Amount) > GFC Was Annexation Covenant Signed? Y Subtotal Inspections: 50.00 Total Fees > 80.00 Method Check # Receipt No. Date Payment CK 232 P4#06025 10/20/04 80.00 TOTAL THIS DATE ********* 80.00