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2004, 09-13 Permit: P0406244 MeterMETER FERMI Applicant: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 PERMIT NO: P0406244 Project No: *0405360 DEPARTMENT OF ENGINEERING SERVICES 808 W. SPOKANE FALLS BLVD. SPOKANE, WASIPNCION 99201-3343 (509) 625-6700 FAX (509)625-63}9/(509)625-6124 www.spokan*ngine ring urg CONTRACTOR: LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 Issued: 09/13/04 Validated by: DAL 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: LLOYD ST Between: 13TH AVE AND END OF LLOYD ST STREET: 1202 S LLOYD ST YA Acct # St. Width: 100 No. of Units: 1 Parcel No: 35233.05060503 Inside City? 0 Acct Type: RE Legal Desc: N 42' OF LOTS 1-2-3 BLK 5 AND S 30' OF VACATED 12TH AVE 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 N Was Annexation Covenant Signed? NA TOTAL COSTS 505.00 Method Check # Receipt No. Date Payment CK 220 P4405026 09/13/04 505.00 TOTAL THIS DATE ********* 505.00