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2004, 05-11 Permit: PO402718 Meter 90.30dd £IOT+2bb 60S 9T:LT POW IT AdW imi n h� DEPARTMENt'OF SPO A vE ENCIN1rLK1NG SERVICES . 808 W.SIK�KANCY41.1.GI31.V1>. SNIKAN1�,WAS!IlNCI'ON 99201-3343 (509) 625-6700 FAX (509)625-6349/(509) 625-6124 11\ ) 111 }11 www..spaa�uenl;in«ring.org *** METER PERMI *** Applicant: CONTRACTOR: LINDSEY CONSTRUCTION INC LINDSEY CONSTRUCTION INC P 0 BOX 30792 P 0 BOX 30792 SPOKANE WA 99223 SPOKANE WA 99223 Phone: 509 879 3420 Phone: 509 879 3420 PERMIT NO: P0402718 Issued: 05/11/04 Project No: *0308029 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: 4617 E 13TH AVE Acct # 103544/8105046 St. Width: 60 No. of Units: 1 Parcel No: Inside City? I 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) > 475.00 Y 24" Concrete Box? (Y/N) . . . > 480 .00 Y TOTAL DEPOSIT 955.00 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 Y Was Annexation Covenant Signed? NA TOTAL COSTS 985.00 Method Check # Receipt No. Date Payment CK 5279 P4#02531 05/11/04 985.00 TOTAL THIS DATE ********* 985.00 9d WdSti:SO VW? TT 'Rel4 £T0S+2b17 60S: '0N Xdd : WOad