2004, 04-15 Permit: P0401914 Meter90'd9dd
£101+17b 60S
* * *
Applicant:
Phone:
PERMIT NO:
Project No:
METER PERMI
LINDSEY CONSTRUCTION INC
P 0 89X 30792
SPOKANE WA 99223
5091879 3420
P0401914
*0318970
In applying or 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 tocovering.
3. To pay 41 charges, including the DEPOSIT. PRICE WILL
BE SUSJET TO CHANGE, if not installed within one year
from the date this permit was issued.
nomanima
SPOKANE
OS : T T VOW 91 eidd
DEPARTMENT f (i F
ENGINEERING SERVICES
$Uti W, SruhA.vi: F i i :13L.\ u.
SPt)I:ANI•:,WAsHr ,it x992(11.3343
(509) 625-63U11
FAX (509) 625-6349/(509) '25.6124
www.spaanceriginvvring.org
***
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone:
Issued:
Validated by:
509 879 3420
04/15/04
DAL
Signed By:
Connection:
Tap On:
Between:
STREET:
St. Width:
Parcel No:
Legal Depot
DOM
13TH AVE
CUSTER & CUL DE SAC ON
130 S CUSTER ST
60
13TH
Inside City? 0
Tap Size: 1"
Sewer sys,Water Sys, Zip 1
Meter Sire - Meter Code: 1" - 03
Installed In (bsmt,box): BOX
Fee description
Acct #
No. of Unita: 1
Acct Type: RE
; E ; 99212
Unita Fee/Unit
Ext fee Data
1" Domestic3 (Y/N)
24" Concrete Bo ? (Y/N). . >
TOTAL D EIP O S I T
Application Fee! (Y/N) >
Outside City Connection? (Y/N) . >
MUST Customer provide pressure reg-
lator (pressure over 80 lbs.)? Y/N
Was Annexationovenant Signed?
TOTAL COSTS
Method Check # Receipt No.
git5254 P4#01847
TOTAL THIS DATE
9d Wd6P:1T POOZ 91 add
Date
04/15/04
475.00 Y
480.00 Y
955.00
30.00 Y
N
N
Y
985.00
Payment
985.00
985.00
2101+217P 60S: '0N Xdd : WOdd