2004, 08-13 Permit: P0405657 MeterAUG -13-2004 FRI 02:33 PM
* * *
, FAX N0.
S1 KANE,rr"
METER PERMI
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phor o;
!PERMIT HO;
Project No:
509 879 3420
P0405657
*0405354
P. 09
DEPA11UI.IENT CW
ENGINEERING SERVICES
808 W. 50+;K AN): P; ,13 BLVD.
SIVKANF, W As1 LIN' noN 99201-3343
(509) 625-6700
FAX (509)625-6149/(509) 625.6121
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CONTRACTOR;
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 08/13/04
Validated.by: DAL
In applying for City water service, I agrees:.
1. .I am bound by City requirements, including thoseiof
3pokano Municipal Code Chapter 13.04 and all terms and
conditions of the Water Rates Resolut-on, as last
'adopted by the Spokane City Council.
2. Co 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:
Tap 1)n:
Betweizn:
$TRE RT;
St. Width:
Parcel. No;
Legal Desc:
Pee
DOM
LLOYD ST
13TH AVE AND END OF LLOYD
1209 S LLOYD ST YA
60
35233.04010404
S 36' OF LOTS 4.5-6 BLK 4
Tap Size; 1"
Sewer Sys;Water Sys; Zip
Meter Size - Meter Code:
Installed In (bsmt,box)1
description -..
ST
Acct #
No. of Units:
Inside City? 0 Acct Type; RE
AND VACATED ALLEY
1 ; E : r 99212'
- 03'
Units Fee/Unit Ext fee Data
1°
BOX
1" Domestic? (Y/N) >
24" Concrete Box? (Y/N). . . >,
TOTAL D E -P O S I Ti
Application Fee? (Y/N) >
Outside City Connection? (Y/N) .'>
Mu9T.pustomer provide pressure reg-
]ator (pressure over 80 lbs.)? Y/N
Was Annexation Covenant Signed?
TOTAL COSTS .
Method Check '# Receipt No.
CK 189. P4004469
TOTAL THIS DATE
Date
08/13/04
475.00 Y
480.00 Y
955.00
30.00 Y
N
N
NA
9B'_-.00
Payment
985.00
985.00