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2006, 10-03 Permit: P0607717 Meter*** SPOKANE PP"1 METER PER 1T Applicant: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 PERMIT NO: P0607717 Project No: *0508443 DEPARTMENT OF ENGINEERING SERVICES 808 W. SPOKANE FALLS BLVD. SPOKANE, WASHINGTON 99201-3343 (509) 625-6700 FAX (509) 625-6349 / (509) 625-6124 www.spokaneengineering.org *** CONTRACTOR: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 Issued: 10/03/06 Validated by: SLH 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: DOM Tap On: CHRONICLE RD Between: 14TH & 15TH STREET: 1420 S CHRONICLE RD YA Acct # St. Width: 60 No. of Units: 1 Parcel No: 35233.16130012 Inside City? 0 Acct Type: RE Legal Desc: WOODLAND TERRACE NORTH 1/2 OF LOTS 11 & 12 BLK 16 AND ADJ 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 1" Domestic? (Y/N) > 508.00 Y 24" Concrete Box? (Y/N). . . > 498.00 Y TOTAL DEPOSIT 1006.00 Application Fee? (Y/N) > 40.00 Y Outside City Connection? (Y/N) > N MUST Customer provide pressure reg- lator (pressure over 80 lbs.)? Y/N N Was Annexation Covenant Signed? Y TOTAL COSTS 1046.00 Method Check # Receipt No. Date Payment CC 0003 P6#05876 10/03/06 1,046.00 TOTAL THIS DATE ********* 1,046.00