2001, 11-02 Permit: P0105854 Meter NO1-02-2001 FRS 02:04 PM FAX Na P, 01
cifizificm DEPARTMENT OF
NCINLL`1i1NC; SERVICES
r— SOS W.Sr.KANr I'm IS BLVD.
SS KANt,WAST IINCTCIN 993201-3343(509)625-6300
PAX (509)625-6,349/(509)625-6124
* * * METER PERMI ***
Applicant: DEVELOPER :
MDS SHLTLER INC MDS SHULER INC
5813 E 4TH AVE SUITE 102 5813 E 4TH AVE SUITE 102
SPOKANE WA 99212 SPOKANE WA 99212
?hone: 462-3027 Phone: 462-3027
PERMIT NO: P0105854 Issued: 11/02/01
Project No: *0011787 Validated by: LDN
In applying for City water service, I agree:
1. I am bound by City requirements, including these 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 CHANCE, if not installed within one year
from the date this permit was issued.
Signed By: _
Connoction: DOM
Tap On:
Betty n: VACATED LLOYD & CUSTER,
STEET: 4615 E 14TH AVE YA Acct #
S t. Widt rr----.-_._________.iQ___ No. of Units: 1
Parcel No: 35233.'110 Inside City? 0 Acct Type: RE
1:,algal Desc: WOODLAND TERRACE L9 B11
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; A ; 99212
Meter size - Meter Code: 1" - 03
Installed In (bsmt,box) : BOX
Fee description Unita Fee/Unit Ext fee Data
1" Meter? (?/N) > 346.73 Y
24" Concrete Box? (Y/N) - . 5 409 .86 Y
TOTAL DEPOSIT 756.59
Application Pee? (Y/N) > 30 .00 Y
Outside City Connection? (Y/N) . > N
MUST Customer provide pressure reg-
let= (pressure over 80 lbs .) ? Y/N N
Was Annexation Covenant Signed?
TOTAL COSTS 736 .59
Method Check # Receipt No. Date Payment
CC F1-05502 11/02/01 786 .59
TOTAL THIS DATE ********* 785 .59