2004, 04-15 Permit: P0401910 MeterS0 ' Otid
£TOT+2b17 60S
***
METER PERMI
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPQKANE WA 99223
Phone: 509 879 3420
PERMIT NO:
Project No:
In
1.
P0401910
0308950
SPOKANE,
, ,ll
,\1 X111
OS:TT VOW 91 Kidd
D, 1'ARTMEN-r ON
EN:;INEERINC SEItvicES
808 W. SI or:Ar: i FALi.;13t vt>,
Sta,r..\Ne, W,\sitIN(.h».99201-3343
(509) 625-6300
FAX (509) (25.6349/(509) 625-6122.4
www,spokunuenginvvring urg
* * *
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 04/15/04
Validated by: DAL
applyi g for City water service, I agree:
I am ound by City requirements, including those of
Spokes a Municipal Code Chapter 13.04 and all terms and
condiions of the Water Rates Resolution, as last
adopt d by the Spokane City Council.
2. To ar ange for City inspection of the water connection
prior to covering.
3. To pa all charges, including the DEPOSIT. PRICE WILL
BE S JECT TO CHANGE, if not installed within one year
from he date this permit was issued.
Signed By
Connection:
Tap On:
Between:
STREET:
St. Width:
Parcel No:
Legal Desc:
OM
3TH AVE
CUSTER & LLOYD
111302 S CUSTER ST
60
Sewer
Meter
Insta
Fes descri
Inside City? 0
Acct #
No. of Units: 1
Acct Types RE
Tap Size: 1"
Sye,Water Sys; Zip 1 ; E ; 99212
Size - Meter Code: 1" - 03
led In (bsmt,,bo4) : VAULT
tion
Units Fee/Unit
Ext fee Data
1" Domes
24" Concrete
TOTAL
Application
Outside City
MUST Custome
lator (pres
Was Annexati
TOTAL CO
ic? (Y/N)
Box? (Y/N) . . . >
EPOSIT
ee? (Y/N)
Connection? (Y/N) . >
provide pressure reg-
ure over 80 lbs.)? Y/N
n Covenant Signed?
TS
Method Check #
CK 5254
TOTAL THIS DATE
Sd Wd817:TT VOW 9T 'add
Receipt No.
P4#01843
Date
04/15/04
*********
£TOT+21717 60S: '0N Xdd
475.00 Y
480.00 Y
955.00
30.00 Y
N
N
Y
985.00
Payment
985.00
985.00