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2006, 10-03 Permit: P0607721 Meter*** Applicant: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 PERMIT NO: P0607721 Project No: *0508444 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: Tap On: Between: STREET: St. Width: Parcel No: Legal Desc: DOM CHRONICLE RD 14TH & 15TH 1424 S CHRONICLE RD YA 60 35233.16130011 Inside City? 0 WOODLAND TERRACE SOUTH I/2 OF LOTS Tap Size: 1" Sewer Sys;Water Sys; Zip 1 Meter Size - Meter Code: 1" - 03 Installed In (bsmt,box): BOX Fee description Acct # No. of Units: Acct Type: RE 11 & 12 BLK 16 E ; 99212 Units Fee/Unit 1 Ext fee Data 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 - 508.00 Y 498.00 Y 1006.00 40.00 Y N 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#05880 10/03/06 1,046.00 TOTAL THIS DATE ********* 1,046.00