2004, 11-11 Permit: P0408466 Meter DEPARTMENT OF .
SPOKANE ENGINEERING SERVICES
p 4 808 WA.SPOKANE FALLS B1_9[).
pSPOKANE,WASHINGTON 99201-3343
(509) 625-6700
, �� FAX (509) 625-6349/(509) 625-6124
www.spokancengineering.��rg
* * * METER PERMI � ' ' ' > > * * *
Applicant: CONTRACTOR:
LINDSEY CONSTRUCTION INC LINDSEY CONSTRUCTION INC
P 0 BOX 30792 P O BOX 30792
SPOKANE WA 99223 SPOKANE WA 99223
Phone: 509 879 3420 Phone: 509 879 3420
PERMIT NO: P0408466 Issued: 11/11/04
Project No: *0011792 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: 14TH AVENUE
Between: VACATED LLOYD AND CUSTER
STREET: 4624 E 14TH AVE YA Acct # 100877/S101730
St. Width: 60 No. of Units: 1
Parcel No: 35233 .1803 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE LOT 2 BLK 18 AND N1/2 VAC ALLEY S OF & A
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; A ; 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 ,
CC 0004 P4#06672 11/11/04 985.00
TOTAL THIS DATE ********* 985.00