2003, 04-15 Permit: P0301659 Sewer COMM
MENT OF
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`�1'\ I `�li ENGINEERING SERVICES
p'p dik, 808 W SPC)K.ANE F.v_L.ti \n.
Sr owa i:,W asfimc roBie 99201-3343
(509) 625-6300
FAX(509) 625-6349/(509) 625-6124
1', ' » 'I ' www.spokaneengineering.org
*** SEWER PERMIT ***
JOHN T. POWERS,"iJR.
MA\(At
Applicant: CONTRACTOR:
LINDSEY CONSTRUCTION INC LINDSEY CONSTRUCTION INC
P 0 BOX 30792 P 0 BOX 30792
SPOKANE WA 99223 SPOKANE WA 99223
Phone: 509 879 3420 Phone: 509 879 3420
PERMIT NO: P0301659 Issued: 04/15/03
Connection: BL Completed:
Approval: Project No: *0207850
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:
Proj#/Prof#: 14V(2) 3 #99137/2000110 23-25-43
Sewer Name: 14TH AVE BL
STREET: 4920 E 14TH AVE YA
Parcel No: 35233 .1505 Right of Way: 0 Easement: 0
Legal Desc: WOODLAND TERRACE LOT 4 BLK 15 AND N1/2 VAC ALLEY S OF & A
"Y-Tap" : 93 .2 ' W OF LAST MH ON
14TH AVE
ENTERS PROPERTY: 9 ' W OF EASTERLY PROP
LINE
Depth/Pipe Size & Type: 5 .2 ' /4" PVC /2018 .5 IE
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 6040 P3#01823 04/15/03 80.00
TOTAL THIS DATE ********* 80 .00
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