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2004, 09-13 Permit: PO0406248 Meter* * * METER PERMI Applicant:, LINDSEY CONSTRUCTION INC P 0 BOX 30792 SPOKANE WA 99223 Phone: 509 879 3420 PERMIT NO: P0406248 Project No: *0405359 DEPARTMENT OF ENGINEERING SERVICES 8081A'. SPOKANE FALLS BLVD. SPOKANE, WASHINCION 99201-3343 (509) 625-6700 FAX (509) 625-6349/(509) 625-6124 ‘vww.spokanee ngineenng org 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 LLYOD ST STREET: 1206 S LLOYD ST YA Acct # St. Width: 100 No. of Units: 1 Parcel No: 35233.05060502 Inside City? 0 Acct Type: RE Legal Desc: S 50' OF THE N 92' OF LOTS 1-2-3 BLK 5 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 T O T A L 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 P4#05030 09/13/04 505.00 TOTAL THIS DATE ********* 505.00