2004, 09-13 Permit: P0406252 Meter***
METER PER
Applicant:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879 3420
PERMIT NO:
Project No:
P0406252
*0405864
SPOKANE DEPARTMENT OF
ENGINEERING SERVICES
/' 1 808 ,\ E,SWAST FALLS 992
SroKnNe, W nsi iwci ON 99201-3343
(509) 625-6700
FAX (509)625-6349/(509)625-6124
www spokanccngrnccring org
***
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CONTRACTOR:
LINDSEY CONSTRUCTION INC
P 0 BOX 30792
SPOKANE WA 99223
Phone: 509 879`3420
Issued:
Validated by:
09/13/04
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:
Tap On:
Between:
STREET:
St. Width:
Parcel No:
Legal Desc:
DOM
LLOYD ST
13TH AVE AND END OF CULDESAC
1214 S LLOYD ST YA
60
35233.05060512 Inside
SOUTH 1/2 OF LOTS 11 & 12
Tap Size: 1"
Sys;Water Sys; Zip 1
Size - Meter Code: 1"
Sewer
Meter
City?
BLK 5
Acct #
No. of Units: 1
O Acct Type: RE
; E ; 99212
03
Installed In (bsmt,box): BSMT
Fee description Units Fee/Unit
Ext fee Data
1" Domestic? (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 # Receipt No. Date
CK 220 P4#05034 09/13/04
TOTAL THIS DATE *********
475.00 Y
475.00
30.00 Y
N
N
NA
505.00
Payment
505.00
505.00