2004, 10-20 Permit: PO407649 Meter***
SPOKANE
,P 41
METER PER
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
PERMIT NO: P0407649
Project No: *0405353
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: 10/20/04
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
CUSTER ST
13TH AVE AND END OF
1201 S CUSTER ST
100
35233.03020306
N 42' OF LOTS 4-5-6
Tap Size:
Sewer Sys;Water Sys; Zip
Meter Size - Meter Code:
Installed In (bsmt,box):
Fee description
CUSTER
YA
nside
BLK 3
1"
1
1"
BOX
ST
City? I
AND S 30'
Acct #
No. of Units: 1
Acct Type: RE
OF VACATED 12TH ST
; E ; 99212
- 03
Units
Fee/Unit 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-
lator (pressure over 80 lbs.)? Y/N
Was Annexation Covenant Signed?
TOTAL COSTS
Method Check # Receipt
CK 234 P4#06012
TOTAL THIS DATE
No. Date
10/20/04
*********
475.00 Y
480.00 Y
955.00
30.00 Y
N
985.00
Payment
985.00
985.00
Y
NA