2001, 05-03 Permit: P0101973 Sewer MAY--03-2001 THU 04:37 PM FAX NO. P. 04
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DEPARTMP.NT OP
t9� �, s J k p'', ENGINEERING SERVICES
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SOK W.SPOKANE FAI Is BLVD.
SPOKANE,WASI]IN(.F N 99201-3343
(50')) 625-6300
FAX(509)625-6349/(509)625-6124
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*** 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: P0101973 Issued: 05/03/01
Connection: BL Completed:
Approval: Project No; *9808134
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: LDN
Pro #/Prof#: 95102 15TH V(2)3 23-25-43
Sewer Name: 15TH AVE BL
STREET: 4 812 E 15TH AVE YA
Parcel No: Right of Way: 0 Easement: 1
Legal Desc:
*Y-Tap* : r
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) > 300.00 300.00 SFR
Was Annexation Covenant Signed? Y
Subtotal Inspections; 50.00
Total Fees > 380.00
Method Check # Receipt No. Date Payment
CC P1-01954 05/03/01 380.00
TOTAL THIS DATE ********* 380.00