2003, 06-13 Permit: P030322 Meter CST r �0 FFi DEPARTMENT OF
SPOKANE`E ENGINEERING SERVICES
+ I 808W SPOKANE FALLS BLVD.
' , SPOKA:2:511v61.SHINGTON 99201-3343
(509) 00
FAX(509)625-6349/(509)625-6124
> 1 l www.spokaneengineering.org
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*** METER PERM JOHN T.POWERS,JR.
MAYOR
Applicant:
DAVID GLUBRECHT
5535 N DRUMHELLER ST
SPOKANE WA 99205
Phone:
Phone: 499-1878
Issued: 06/13/03
PERMIT NO: P0303200 Validated by: CAR
Project No: *9401622
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: HAVANA STREET & MORRILL STREET Acct # 0146-184000.00
STREET: 4304 E 14TH AVE
St. Width: 60 Type:
of Units: 1
Parcel No: 35233.2103 Inside City? I Acct T e: RE
Legal Desc: WOODLAND TERRACE
40NHLOT 46 LWHICK 21H W LL ADDRESSED/2 OF VAC LEY
Comments: THIS METER FOR NEW HOUSEOK PER LYN SHUPE
AS 4314 E 12TH AVE PER SPOKANE COUNTY.
TO USE WATER TAP ON LOT 5 FOR THIS HOUSE.
Tap Size: 1" 99212
Sewer Sys;Water Sys; Zip 1 E ;- 02
Meter Size - Meter Code: 3/4"
Installed In (bsmt,box) : BOX Units Fee/Unit Ext fee Data
Fee description
300.00 Y
3/4" Domestic? (Y/N) > 300 .00 Y
24" Concrete Box? (Y/N) .
>
745.00
TOTAL DEPOSIT 45.00 Y
Application Fee? (Y/N)
> Y
.>
Outside City ConnectionMUST Customer provide pressureN
reg-
lator (pressure over 80 lbs.) ? Y/N NA
Was Annexation Covenant Signed? 775.00
TOTAL COSTS