2001, 05-03 Permit: P0101965 Sewer :..., -03-2001 THU 04:38 PM FAX NO, P. 08
x$ DEPARTMFNT OF
• ' : c.'`; I• ENGINFFRING SERVICES
1714
SOR W.Sr ANli FALLSBLVD.SP IANC,WANN IINa lr ON 99201-3313
(509) 625-6300
FAX(509)625-6349/(509)625.6324
*** SEWER PERMIT ***
Applicant: CONTRACTOR:
MORT CONSTRUCTION INC MORT CONSTRUCTION INC
BOX 602 BOX 602
POST FALLS ID 83854 POST FALLS ID 83854
Phone: 208 667 6988 Phone: 208 667 6988
PERMIT NO: P0101965 Issued: 05/03/01
Connection: BL Completed:
Approval: Project No: *9508795
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 15TH V(2)3 23-25-43
Sewer Name: 15TH AVENUE BL
STREET: 4721 E 15TH AVE YA
Parcel Not 35233 .1714 Right of Way: 60 Easement: 0
Legal Desc: WOODLAND TERRACE LOT 12 BLK 17
Comments: ADDRESS ON PERMIT IS 4721 E. 15TH. AVE. YA
"Y-Tap" : 290.3 ' E OF MH#6 @ CUS-
TER ST.
ENTERS PROPERTY: UNKNOWN
Depth/Pipe Size & Type: /4" PVC
ENTERS BUILDING:
Connection to Cess 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) > 50 .00 Y
1 ERU Surcharge (Input Amount) > 300.00 300.00 SFR
I Was Annexation Covenant Signed? Y
Subtotal Inspections: 50.00
Total Fees > 380.00
Method Check # Receipt No, Date Payment
CC P1-01958 05/03/01 380.00
1fl1 03-2001 THU 04:38 PM FAX NO. P. 09
DEPARIMENT qr•
ENGINLLIUNG SERVICES
p808 W.Si'c'KANIFAI.I s Bi vu.
SPOKANE,WM:411N(.u'N 99201-3343
(509) 625-6300
FAX (509)625-6349/(509)625-6124
*** SEWER PERMI ' . ' ' ***
Applicant: CONTRACTOR:
MORT CONSTRUCTION INC MORT CONSTRUCTION INC
BOX 602 BOX 602
POST FALLS ID 83854 POST FALLS ID 83854
Phone: 208 667 6988 Phone: 208 667 6988
PERMIT NO: P0101965 Issued: 05/03/01
TOTAL THIS DATE ********* 380.00
Approval: Project No: *9508795