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2004, 01-20 Permit: PO400163 Meter , DEPARTMENT OF SPOKANE ENGINEERING SERVICES ppo'A, 808 W.SPOKANE FALLS BLVD. SPOKANE,WASHINGTON 99201-3343 (509) 625-6300 FAX(509)625 P 1 6349/(509) 625-6124 )> >> )ll 1 ' www.spokaneengineering.org *** METER PERMI ' " ' ) ) ) *** Applicant: CONTRACTOR: LINDSEY CONSTRUCTION INC LINDSEY CONSTRUCTION INC P O BOX 30792 P 0 BOX 30792 SPOKANE WA 99223 SPOKANE WA 99223 Phone: 509 879 3420 Phone: 509 879 3420 PERMIT NO: P0400163 Issued: 01/20/04 Project No: *0308043 Validated by: CAR 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: DOM Tap On: 13TH AVE Between: CUSTER & LLOYD STREET: 4610 E 13TH AVE Acct # 103538/S105040 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 ; E ; 99212 Meter Size - Meter Code: 1" - 03 Installed In (bsmt,box) : BOX Fee description Units Fee/Unit Ext fee Data 1" Domestic? (Y/N) > 365.00 Y 24" Concrete Box? (Y/N) . . . > 445.00 Y TOTAL DEPOSIT 810.00 Application Fee? (Y/N) > 30.00 Y Outside City Connection? (Y/N) . > N MUST Customer provide pressure reg- lator (pressure over 80 lbs.) ? Y/N N Was Annexation Covenant Signed? NA TOTAL COSTS 840 .00 Method Check # Receipt No. Date Payment CK 2517 P4#00205 01/20/04 840 .00 TOTAL THIS DATE ********* 840.00