2004, 08-13 Permit: P0405653 Meter1UG-13-2004 FRI 02:32 PM
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FAX Na
C. T V a t
SPOKANE
METER PERMI
Applicant;
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Pho: e: 509 879 3420
PERMIT No: p0405653
Project No: *0405355
In
1.
1,
1 I 1 1 1 1
P. 05
DEPARTMENT 0?
GNOINEEIiuNc. SERVICES
808 W. SroKANI. FALLS 131.vu.
SPOKANE., W ry4I IINI CON 99201-3343
(509) 625-6700
FAX (509) 625-6349 / (509) 625-61'! 1
www.M}LLIPoneel li CI'llW org
* * *
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
'Phone: 509 879 :1420
Issued: 08/13/04
Validated by: DAL
applying for City water service, I agree: '
:T. am bound by City requirements, including those of
3pokane Municipal Code Chapter 13.04 04all terms and
1
L'onditions of the Water Rates,Resolutign, last‘,
adopted by the Spokane City.Council. , . .
To arrange for City inspection of tki6 water connection
prior to covering.
3. To pay all charges, inoluding the DEPOSIT. "PRICE WILL
BE SUBJECT TO CHANGE, if not installed within one year
from the date this permit was issued. ,
Sig:ted By:
Connection:
Tap On:
B c two,jn :
STREiT:
St. Width:
Parcel No:
Legal Desc:
DOM
LLOYD ST
13TH AVE AND END OF LLOYD
1210 S LLOYD ST YA
60
35213.05060501 Inside City?
SOUTH 36' OF LTS 1-2-3 ELK 5 AND
Tap Size: 1"
Sys:Water Sys; Zip 1 • E
Size - Meter Code': 11" - 03.
Installed In (bsmt,box): BOX'
Fee description
ST
Sewer
Meter
Acct #
' No. of unite: 1
0 Acct Type: RE
VACATED ALLEY
99212 I'
Units Fee/Unit ; Ext fee Data
1" Domestic? (Y/N).-. . • • >
24" Concrete Box?. (y/N). . . . >
TOTAL IJEPOSIT
Application Fee? (Y/N) . , • . •>
Outside City Connection? .(Y/N) . .>
MDST.;.'us:tomer provide pressure reg -
tutor (pressure over 00 lbs.)? Y/N
Was Annexation Covenant Signed?
TOTAL COSTS
Mathod check #
CK 189
TOTAL THIS DATE
Receipt No. Date
P4#04465 08/13/04
475.00 Y
480.00 Y
955.00
30.00 Y
N
NA
985.00
Payment
985.00
985,00