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2003, 12-12 Permit: P0307162 Meter*** METER PERMI Applicant: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 PERMIT NO: P0307162 Project No: *0308047 DEPARTMENT OF ENGINEERING SERVICES 808 W SPOKANE FALLS BLVD. SPOKANE, WASHINGTON 99201-3343 (509) 625-6300 FAX (509) 625-6349/(509) 625-6124 www.spokaneengineering.org *** CONTRACTOR: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 Issued: 12/12/03 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: 13TH AVENUE Between: CUSTER STREET & LLOYD STREET STREET: 1306 S CUSTER ST Acct # 103532/S105033 St. Width: 60 No. of Units: 1 Parcel No: Inside City? 0 Acct Type: RE Legal Desc: Tap Size: 1" Sewer Sys;Water Sys; Zip 1 ; E ; 99212 Meter Size - Meter Code: 1" - 03 Installed In (bsmt,box): BOX Fee description Units Fee/Unit Ext fee Data 1" Domestic? (Y/N) > 365.00 Y 24" Concrete Box? (Y/N). . . > 445.00 Y TOTAL DEPOSIT 810.00 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 N Was Annexation Covenant Signed? NA TOTAL COSTS 840.00 Method Check # Receipt No. Date Payment CC 0004 P3#07403 12/12/03 840.00 TOTAL THIS DATE ********* 840.00