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2004, 12-16 Permit: P0409144 Meter rDEPARTMENT OF SPOKANE ENGINEERING SERVICES fl AiSA SPOKANEOSW. ,WASHINGTONSPOKANEFLLSBLVD.99201 3343 (509) 625-6700 FAX (509) 625-6349/(509) 625-6124 www.spokaneengineering.org METER PER * * * Applicant: CONTRACTOR: LINDSEY CONSTRUCTION INC LINDSEY CONSTRUCTION INC P O BOX 30792 P O BOX 30792 SPOKANE WA 99223 SPOKANE WA 99223 Phone: 509 879 3420 Phone: 509 879 3420 PERMIT NO: P0409144 Issued: 12/16/04 Project No: *0011805 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 & CHRONICLE STREET: 4724 E 14TH AVE YA Acct # St. Width: 60 No. of Units: 1 Parcel No: 35233 .1704 Inside City? 0 Acct Type: RE Legal Desc: WOODLAND TERRACE LOT 1 BLK 17 Tap Size: 1" Sewer Sys;Water Sys; Zip 1 ; A 99212 Meter Size - Meter Code: 1" - 03 Installed In (bsmt,box) : BSMT 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? Y TOTAL COSTS 505 . 00 Method Check # Receipt No. Date Payment CK 6721 P4#07338 12/16/04 505.00 TOTAL THIS DATE ********* 505.00