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2004, 12-10 Permit: P0409058 Sewer 20"30bd 2TOT Ebb 60S TO:bT 17002 0T 03G Euonalmicw,s Dt,l'ARI NI,NI OF Si)\ K 1. r L.. EN(:INI.I.1u"(: SIAVIC'l S i) iiil '^'�g t{Uti W.tirt,LANl l;ni l : 13:\)-71 )(11 il\n. Srt 1hnNI.,Wn a uN, I N'l'12t11.313i (i115)) (,25-67(10FAX ( 1)9) 625-(,31()I(501)) (,2;-6124 ) 1 1 wwt‘ 1..,mvoli ,inrrrint;. ) I ) : *** SEWER PERMIT *** 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: P0409058 Issued: 12/10/04 Connection: BL Completed: Approval: Project No: *9908258 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#: 99080 16TH A 23-25-43 Sewer Name: 16TH AVE BL STREET: 4407 E 16TH AVE YA Parcel No: 35233 .2311 Right of Way: 30 Easement: 0 Legal Desc: WOODLAND TERRACE LT 8 BLK 23 "Y-Tap" : 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) > GFC Was Annexation Covenant Signed? Y Subtotal Inspections: 50.00 Total Fees > 80.00 Method Check # Receipt No. Date Payment CC 0004 P4#07248 12/10/04 80 .00 TOTAL THIS DATE ********* 80 .00 E 'd ETOT -Ebb-SOS uJ31S 2a.49 dbS : TO 170 OT o' a