2004, 09-13 Permit: P0406240 Meter DEPARTMENT OF
SPOKANE ENGINEERING SERVICES
ppp".li 808W.
SPOKANESPOKANEWASHINGTON FALLS BLVD.
, 99201-3343
(509) 625-6700
, ) , ) FAX (509) 625-6349/(509) 625-6124
)i vi ) 1 ) 1 www.spokan engi*ering.org
*** METER PERMI 7*kk
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: P0406240 Issued: 09/13/04
Project No: *0011794 Validated by: DAL
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 . Toipay 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: 14H AVE
Between: VACATED LLOYD AND CUSTER
STREET: 4629 E 14TH AVE YA Acct #
St. Width: 60 No. of Units: 1
Parcel No: 35233 .1113 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE ADDITION E5FT LT 11 ALL LT 12 BLK 11 TOGE
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
TOTAL DEPOSIT 475.00
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 505.00
Method Check # Receipt No. Date Payment
CK 220 P4#05022 09/13/04 505.00
TOTAL THIS DATE ********* 505.00