2004, 09-24 Permit: PO406913 Meter***
METER PERMI
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
P0406913
*0405352
PERMIT NO:
Project No:
DEPARTMENT OF
ENGINEERING SERVICES
808 W.Siok\\I-F.\11,Bi\1
(509) 625-6700
FAX (509) 625-634I/(50LI) h25 -h124
w w \\ ,hul uxr ngiiic r i nr,4
***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 09/24/04
Validated by: CAR
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: CUSTER ST
Between: 13TH AVE AND END OF CUSTER ST
STREET : 1202 S CUSTER ST YA
St. Width: 100
Parcel No: 35233.04010403 Inside City?
Legal Desc: N 42' OF LOTS 1-2-3 BLK 4 AND S
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; E
Meter Size - Meter Code: 1" - 03
Installed In (bsmt,box): BOX
Fee description Units
Acct # 104316/S106022
No. of Units: 1
0 Acct Type: RE
30' OF VACATED 12TH
99212
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 No.
CK 173 P4#05406
TOTAL THIS DATE
Date
09/24/04
*********
475.00 Y
480.00 Y
955.00
30.00 Y
N
985.00
Payment
985.00
985.00
Y
NA