2006, 08-07 Permit: P0605986 Meter • • EMEMEINIEND DEPARTNIENT Of
SPOKANE ENGINEERING SER\ICI
prgl808 W.Sroh.vyE FAri_`;BrSPOKANE,WAsHi croti 99201-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-6124
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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: P0605986 Issued: 08/07/06
Project No: *0508429 Validated by: SLH
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 E`.
prior to covering. (1
3 . To pay all charges, including the DEPOSIT. PRICE WILL
C,
BESUBJECT TO CHANGE, if not installed within one year
from the date this permit was issued.
Signed By:
Connection: DOM
Tap On: 15TH
Between: CHRONICLE & END OF CULDESAC
STREET: 4909 E 15TH AVE YA Acct #
St. Width: 60 No. of Units: 1
Parcel No: 35233 .1513 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE LOT 12 BLK 15 AND S1/2 VAC ALLEY N OF &
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; E ; 99212
Meter Size - Meter Code: 1" - 03
Installed In (bsmt,box) : BOX
Fee description Units Fee/Unit Ext fee Data
1" Domestic? (Y/N) > 508.00 Y
24" Concrete Box? (Y/N) . . . > 498.00 Y
TOTAL DEPOSIT 1006 .00
Application Fee? (Y/N) > 40 .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 1046.00
Method Check # Receipt No. Date Payment
CK 4630 P6#04681 08/07/06 1,046 .00
TOTAL THIS DATE ********* 1, 046.00