2004, 04-15 Permit: PO401906 Meter LO'BJdd £TOT+2PP 60S OS:TT VOW 9T eldd
• 1)EvAR!'MkM 01r
• SPOKAN,L EN(IINLIiIINc SERVICES
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'In 44 KOk W,SPOKANV FALLS BLVD.
SL )91r(1.W,ASIJLNG1CN99201-3343
(509) (25-630()
FAX (509)625.6349/(509)625-6124
1 1 1 www spokunoonginooring.org
*** METER PERMI ' ' "" 4r*. *
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Applicant: • CONTRACTOR:
LINDSEY !CON$TRUCTION INC LINDSEY CONSTRUCTION INC
P 0 BOX 130792 P 0 BOX 30792
SPOKANE !WA 99223 SPOKANE WA 99223
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Phone: 509 879 3420
Phone: 509 879 3420
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PERMIT NO: P0401906: Issued: 04/15/04
Project No: *0308546 Validated by: DAL
In applying for City water service, I agree:
1. I am boundiby City requirements, including those of
Spokane Municipal Code Chapter 13 .04 and all terms and
conditionsjof 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 allchazges, including the DEPOSIT. PRICE WILL
BE SUBJECTTO CHANGE, if not installed within one year
from the date this permit was issued.
Signed By:
Connection: DOM
Tap On: 13TH ,AVE
Between: CUSTER & LLOYD
STREET: 4608 E 13TH AVE Acct #
St. Width: 60; No. of Units: 1
Parcel No: Inside City? 0 Acct Type: RE
Legal Desc:
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 r E p 99212
Meter Size; - Neter Code: 1" - 03
Installed 44 (bsmt,box) : BSMT
Fee description; Units Fee/Unit Ext fee Data
1" Domestic? WN) 475.00 Y475.00
TOTAL D E P O S I T 30.00 Y
Application Fee? (Y/N)
N
Outside City Conxection? (Y/N) . .>
MUST Customer provide pressure reg-
lator
(pressure iovez• 80 lbs.) ? Y/N
Was Annexation Covenant Signed? 505.00
TOTAL COSTS ipa Dat
Method. Check # Receipt No. Date ym
Ci , . 5254 P4#01839 04/15/04 505.00
TOTAL THIS DATE ********* 505.00
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