2003, 06-20 Permit: P0303355 Sewer CIT 0 F
Sp/� xTT, DEPARTMENT OF I t
l V ._IN r ENGINEERING SERVICES
IISW POKANE FALLS BLVD.
SOSPOKANES,WASHINcrDN 99201-3343
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(509) 625 6300
FAX(509)625-6349/(509)625-6124
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*** SEWER PERMIT ' ) I I ' > > > ***
JOHN T.POWERS,JR.
MAYOR
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: P0303355 Issued: 06/20/03
Connection: BL Completed:
Approval: Project No: *0207861
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: 4 921 E 14TH AVE YA
Parcel No: 35233.14011413 Right of Way: 0 Easement: 0
Legal Desc: WOODLAND TER L13 B14
"Y-Tap": 89.5' W OF LAST MH IN
14TH AVE
ENTERS PROPERTY: 7' W OF EASTERLY PROP
LINE
Depth/Pipe Size & Type: 6.2' /4" PVC /2017.1 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 6226 P3#03431 06/20/03 80.00
TOTAL THIS DATE ********* 80.00