2007, 04-17 Permit: P0702651 Meter DEPARTMENT OF
•
SPOKANE ENGINEERING SERVICES
808 W.SPOKANE FALLS BLVD.
SPOKANE,WASHINGTON 99201-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-6129
) ` ) www.spokaneengineering.org
*** METER PERMI ' ' ) ***
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: P0702651 Issued: 04/17/07
Project No: *0508432 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: 15TH AVE
Between: CHRONICLE RD AND END OF CULDESAC
STREET: 4915 E 15TH AVE YA Acct #
St. Width: 100 No. of Units: 1
Parcel No: 35233.15171516 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE LOT 15 & 16 BLK 15 AND VAC ST N OF ADJ
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) > 470.00 Y
24" Concrete Box? (Y/N) . . . > 560.00 Y
TOTAL DEPOSIT 1030.00
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? NA
TOTAL COSTS 1070 .00
Method Check # Receipt No. Date Payment
CK 5260 P7#01792 04/17/07 1,070 .00
TOTAL THIS DATE ********* 1,070 .00