2004, 11-11 Permit: P0408463 Sewer DEPARTMENT OF
SPOKANE EF.
NGINEERING SERVICES
p op,ish 4,4 4 808WA.SPOKANEFALLSAo.
SPOKANE.,WASHING1O�NB 99201-3343
(509) 625-6700
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*** SEWER PERMIT ***
Applicant: CONTRACTOR:
LINDSEY CONSTRUCTION INC LINDSEY CONSTRUCTION INC
P 0 BOX 30792 P O BOX 30792
SPOKANE WA 99223 SPOKANE WA 99223
Phone: 509 879 3420 Phone: 509 879 3420
PERMIT NO: P0408463 Issued: 11/11/04
Connection: BL Completed:
Approval: Project No: *0011792
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#: 14TH V(1) 3 23-25-43 99137
Sewer Name: 14TH AVE BL
STREET: 4624 E 14TH AVE YA
Parcel No: 35233 .1803 Right of Way: 60 Easement: 0
Legal Desc: WOODLAND TERRACE LOT 2 BLK 18 AND N1/2 VAC ALLEY S OF & A
"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
CC 0004 P4#06671 11/11/04 80.00
TOTAL THIS DATE ********* 80.00 ,