2004, 12-16 Permit: P0409148 Meter • D TM T O)1
Sl OK__.1 VE ENGINEERING SERVICES
' 41444 8 W.SPok;�NE F\c% Bi\n.0
SPOK08ANE,WASH NCTON 9921-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-6124
WWW.spokaneen,nccling org
* * * METER PERMI * * *
Applicant: CONTRACTOR:
LINDSEY CONSTRUCTION INC LINDSEY CONSTRUCTION INC
P 0 BOX 30792 P O BOX 30792
SPOKANE WA 99223 SPOKANE WA 99223
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Phone: 509 879 3420 : Phone: 509 879 3420
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PERMIT NO: PO4O9148 Issued: 12/16/04
Project No: *0011804 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 . 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 AVE
Between: CUSTER AND CHRONICLE
STREET: 4721 E 14TH AVE YA Acct #
St. Width: 60 No. of Units: 1
Parcel No: 35233 .1209 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE ADD E16FT LT 11 AND ALL LT 12 BLK 12
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 N
Was Annexation Covenant Signed?
TOTAL COSTS 985.00
Method Check # Receipt No. Date Payment
CK 6721 P4#07342 12/16/04 985.00
TOTAL THIS DATE ********* 985 .00