2004, 09-24 Permit: PO406917 Meter***
METER PERMI
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
5I'OICANE
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DEPARTMENT OF
ENGINEERING SERVICES
808 W.Si'oh.\\i F Bi \
SP(4... \I,W \ ,I 992(1-3343
(509) 625-6700
FAX (509) (125-6349/(509) (125-6124
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***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420 Phone: 509 879 3420
PERMIT NO: P0406917
Project No: *0405340
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: 1206 S OUSTER ST YA Acct # 104319/S106025
St. Width: 100 No. of Units: 1
Parcel No: 35233.04010402 Inside City? 0 Acct Type: RE
Legal Desc: S 50' OF THE N 92' OF LOTS 1-2-3- BLK 4
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; E ; 99212
Meter Size - Meter Code: 1" - 03
Installed In (bsmt,box): BSMT
Fee description Units Fee/Unit Ext fee Data
1" Domestic? (Y/N) > 475.00 Y
TOTAL DEPOSIT 475.00
Application Fee? (Y/N) > 30.00 Y
Outside City Connection? (Y/N) > N
MUST Customer provide pressure reg-
lator (pressure over 80 lbs.)? Y/N Y
Was Annexation Covenant Signed? NA
TOTAL COSTS 505.00
Method Check # Receipt No. Date Payment
CK 173 P4#05410 09/24/04 505.00
TOTAL THIS DATE ********* 505.00