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2001, 08-16 Permit: P0104376 Sewer
AUG-16--2001 THU 10:30 AM FAX M0, P. 04 EMZEIGIMMMU L)LrARTMirNT OF ENC,(NEFRINC: SERVICES r0 SOS V SpoK 1N1r P;,r r:;3r.vey F Sri ,vet.,t`Vn'11ltii:;0N 99201-3343 (509)6256100 FAX (509)62_ -634),((509)625-6124 * * SEWER PERMIT *** Applicant: MDS SHU[,ER P.O. BOX 1207 DAVENPORT WA 99122 Phone: 462-3027 Phone: PERMIT NO; P0104376 Issued: 08/16/01 Connection: BL Completed: Approval: Project No: *9508796 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: RD Proj##/Prof#: 95102 1STH V(2)3 23-25--43 Sewer Name: 15TH AVENUE BL STREET: 4702 E 15TH AVE YA Parcel No: 35233 .2607 Right of Way: 60 Easement: 0 Legal DeSc: WOODLAND TERRACE LT 6 SLK 26 "Y--Tap" : 38.8 ' E OF MH#6 @ CUSTER ST. ENTERS PROPERTY: UNKNOWN Depth/Pipe Size & Type: /4" PVC ENTERS BUILDING: Connoction to Cesw Pipe: Depth/Pipe Size & Type: UNKNOWN Fee description Units Fee/Unit Ext fee Data Application Fee? (Y/N) > 30. 00 Y inspection Fee? (Y/N) 7 50.00 Y ERU Surcharge (Input Amount) > 300.00 300.00 Was Annexation Covenant Signed? Y Subtotal Inspections: 50.00 Total Fees > 380.00 Method Check # Receipt No. pato Payment CC P1-03975 08/16/01 380.00 TOTAL THIS DATE ********* 380.00