2006, 08-07 Permit: P0605990 Meter ImEnlImill_ DEPARTMENT OF
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SPOKANE,WASE I\C 10v 99201-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-61
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* ** METER PER IT ***
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: P0605990 Issued: 08/07/06
Project No: *0508430 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
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: 15TH
Between: CHRONICLE & END OF CULDESAC
STREET: 4911 E 15TH AVE YA Acct #
St. Width: 60 No. of Units: 1
Parcel No: 35233 .1514 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE LOT 13 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#04685 08/07/06 1, 046 .00
TOTAL THIS DATE ********* 1, 046 .00