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2006, 05-08 Permit: P0603727 MeterSPOKANE METER PERMI Applicant: LINDSEY CONSTRUCTION P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 PERMIT NO: P0603727 Project No: *0508449 INC DEPARTMENT OF ENGINEERING SERVICES 808 W. SPOKANE FALLS BLVD. SPOKANE, WASHINGTON 99201-3343 (509) 625-6700 FAX (509) 625-6349 / (509) 625-6124 www.spokarteengineering.org *** CONTRACTOR: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 Issued: 05/08/06 Validated by: DAL In applying for City water service, I agree: 1. I am bound by City requirements, including those of Spokane Municipal Code Chapter 13.04 and all terms and conditions of the Water Rates Resolution, as last adopted by the Spokane City Council. 2. To arrange for City inspection of the water connection prior to covering. 3. To pay all charges, including the DEPOSIT. PRICE WILL BE SUBJECT TO CHANGE, if not installed within one year from the date this permit was issued. Signed By: Connection: Tap On: Between: STREET: DOM CHRONICLE RD 14TH AVE AND 15TH AVE 1416 S CHRONICLE RD YA St. Width: 60 Parcel No: 35233.1616 Inside City? 0 Acct Type: Legal Desc: WOODLAND TERRACE ADD S1/2 OF LT 1 AND S1/2 LT 2 Tap Size: 1" Sewer Sys;Water Sys; Zip 1 ; E ; 99212 Meter Size - Meter Code: 1" - 03 Installed In (bsmt,box): BOX Fee description Units Fee/Unit Ext fee Data Acct # No. of Units: 1 RE BLK 16 TOG 1" Domestic? (Y/N) 24" Concrete Box? (Y/N). . . > TOTAL DEPOSIT Application Fee? (Y/N) Outside City Connection? (Y/N) . .> MUST Customer provide pressure reg- lator (pressure over 80 lbs.)? Y/N Was Annexation Covenant Signed? TOTAL COSTS Method CK TOTAL THIS DATE Check # Receipt No. Date 4457 P6#02610 05/08/06 ********* 508.00 Y 498.00 Y 1006.00 40.00 Y N N Y 1046.00 Payment 1,046.00 1,046.00