2004, 09-01 Permit: P0406112 Meter***
METER PERMI
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
SPOKANE
PP
DEPARTMENT OF
ENGINEERING SERVICES
808 W. SPOKANE FALLS BLVD.
SPOKANE, WASHINGTON 99201-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-6124
www.spokan* ngin ring.org
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420 Phone: 509 879 3420
PERMIT NO: P0406112
Project No: *0405337
Issued: 09/01/04
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:
Tap On:
Between:
STREET:
St. Width:
Parcel No:
Legal Desc:
DOM
CUSTER ST
13TH AVE AND END OF CUSTER
1210 S CUSTER ST YA
60
35233.04010401 Inside City? 0
S 36' OF LOTS 1-2-3- BLK 4 AND VACATED
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1
Meter Size - Meter Code: 1" - 03
Acct # 104322/8106028
No. of Units: 1
Acct Type: RE
ALLEY
; E ; 99212
Installed In (bsmt,box): BSMT
Fee description
Units Fee/Unit
Ext fee Data
1" Domestic? (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 211 P4#04875 09/01/04
No. Date
TOTAL THIS DATE
*********
475.00 Y
475.00
30.00 Y
N
505.00
Payment
505.00
505.00
Y
NA