2004, 05-11 Permit: PO402713 Meter 20'30dd 2TOT+2b17 60S STILT 1700E TT AUW
car�A1.VE��p DEPARTMENT OF
O
St ENG1NEERINC SERVICES
Tra.n;W-n 808 W.SPOKANE•'FALLS BJ.Vn9920.
.Si OI A.:1
NS? WASHINGTON 1-3343
(509) 625-6700
FAX (509) 625-6349/(509)625-6124
1 i t� 11 ) ) www. k u,t en•i7 rutg.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: P0402713 Issued: 05/11/04
Project No: *0308035 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: 4719 E 13TH AVE Acct # 103553/S105055
St. Width: 100 No. of Units: 1
Parcel No: Inside City? I Acct Type: RE
Legal DeeC:
Tap Size: 111
Sewer Sys,Water Sys; Zip 1 ; E ; 99212
Meter Size - Meter Code: 1" - 03
Installed In (bsmt,box) : BOX
Fee description Unita 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#02527 05/11/04 985.00
TOTAL THIS DATE ********* 985.00
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