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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 • '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*. * • • • Applicant: • CONTRACTOR: LINDSEY !CON$TRUCTION INC LINDSEY CONSTRUCTION INC P 0 BOX 130792 P 0 BOX 30792 SPOKANE !WA 99223 SPOKANE WA 99223 • Phone: 509 879 3420 Phone: 509 879 3420 • 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 Ld Wd6P:TT VOW 91 'add £T0T+2PP 60S: 'ON Xdd : WOdd