2004, 10-20 Permit: P0407633 Meter***
SPOKANE
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METER PERM±T ')
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
PERMIT NO: P0407633
Project No: *0405862
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.
DEPARTMENT OF
ENGINEERING SERVICES
808 W. SPOKANE FALLS BLVD.
SPOKANE, WASHINGTON 99201-3343
(509) 625-6700
FAX (509)625-6349/(509)625-6124
wwwspokaneengine*'*g o g
CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
Issued: 10/20/04
Validated by: DAL
Signed By:
Connection: DOM
Tap On: LLOYD ST
Between: 13TH AVE AND END OF CULDESAC
STREET: 1212 S LLOYD ST YA
St. Width: 60
Parcel No: 35233.05060511 Inside
Legal Desc: NORTH 1/2 OS LOTS 11 & 12
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1
Meter Size - Meter Code: 1"
Installed In (bsmt,box): BOX
Fee description
City?
BLK 5
Acct #
No. of Units: 1
2 Acct Type: RE
E 99212
- 03
Units Fee/Unit
Ext fee Data
1" Domestic? (Y/N)
24" Concrete Box? (Y/N).
TOTAL DEPOSIT
Application Fee? (Y/N)
Outside City Connection? (Y/N)
MUST Customer provide pressure reg-
lator (pressure over 80 lbs.)? Y/N
Was Annexation Covenant Signed?
TOTAL COSTS
Method Check #
CK 232
TOTAL THIS DATE
Receipt No.
P4#06016
Date
10/20/04
*********
475.00 Y
480.00 Y
955.00
30.00 Y
N
N
NA
985.00
Payment
985.00
985.00