2000, 10-26 Permit: P0005215 Tap 05/07/2001 15:07 4623029 MDS SHULER PAGE 01
OF
SrO.,.�K,Cil VT ENGINEERING SERVICES
41611808 W.SPOKANE FALLS BLVD.
$(509)62574%16 ,-WASHINGTON6300 99201-3343
FAX(509)625-6349/(509)625-6124
*** TAP PE IT ***
Applicant:
MDs SHULER INC.
P.O. BOX 1207
DAVENPORT WA 99122
Phone: Phone:
PERMIT NO: P0005215 Issued: 10/26/00
Project No: *0011786 Validated by:
In applying for City Mater 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: VACATED LLOYD AND CUSTER
STREET: 4610 E 14Th AVE YA Acct #
St. Width: 60 No. of Units: 1
Parcel No: 35233.1806 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE LOT 5 SLK 18
Main Size and Type: 12°
Tap Size: 1°
sewer Sys; Water Sys;Zip 1 ; A I 99212
Fee description Units Fee/Unit Ext fee Data
Application Fee? (Y/N) > 30.00 Y
Outside City Connection? (Y/N) - > NA
Was Annexation Covenant Signed? Y
1" Tap? (Y/N) . . . . .i - . . . > 248.40 Y
TOTAL DEPOSIT > 248.40
TOTAL AMOUNT DUE 278.40
*** Fees Required *** *** Fees Collected & Credits ***
Receipt No. Date Payment
10/26/00 278.40