2003, 06-02 Permit: P0302682 Meter 111
DEPARTMENT OF
SPOKANE ENGINEERING SERVICES
, 808W.SPOKANE FALLS BLVD.
SPOKANE,WASHINGTON 99201-3343
(509) 625-6300
FAX(509) 625-6349/(509) 625-6124
>)) 1 www.spokaneengineering.org
* ** METER PER ±"T" " 11 ***
JOHN T.POWERS,JR.
MAYOR
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: P0302682 Issued: 06/02/03
Project No: *0207849 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: CARNAHAN ST & WILLAMETTE ST
STREET: 4924 E 14TH AVE YA Acct # 102321/S103446
St. Width: 60 No. of Units: 1
Parcel No: 35233 .1504 Inside City? I Acct Type: RE
Legal Desc: WOODLAND TERRACE LOT 3 BLK 15 AND N1/2 VAC ALLEY S OF &
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; E ; 99212
Meter Size - Meter Code: 1" - 03
Installed In (bsmt,box) : BSMT
Fee description Units Fee/Unit Ext fee Data
1" Domestic? (Y/N) > 365.00 Y
TOTAL DEPOSIT 365.00
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 395.00
Method Check # Receipt No. Date Payment
CK 6139 P3#02911 06/02/03 395.00
TOTAL THIS DATE ********* 395.00