2001, 06-20 Permit: P0103184 Meter JUN-20-2001 WED 04:26 PM . FAX NO. P. 01
c t 7 Y F DLPAItTMENT OF
` :1,?" " ENGINEERING SERVICES
80S W.SPOKANE FALLS til Vn.
�'
FP SPOKANE,WAs1IINGTON 9920]-3343
(509)625-&100
FAX(509)625-6349/(509)625-6124
*** METER PE MIT ***
Applicant: LENDOR :
MORT CONSTRUCTION INC MORT CONSTRUCTION INC
BOX 602 BOX 602
POST FALLS ID 83854 POST FALLS ID 83854
Phone: 509 444 3000 Phone: 509 444 3000
PERMIT NO: P0103184 Issued: 06/20/01
Project No: *0011791 Validated by: LDN ;
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: VACATED LLOYD AND OUSTER
STREET: 4625 E 14TH AVE YA Acct #
St. Width: 60 No. of Units: 1 '
Parcel No: 35233.11011111 Inside City? I Acct Type: RE
Legal Desc: WOODLAND TERRACE Lil B11
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; A ; 99212
Meter Size - Meter Code: 1" - 03
Installed In (bsmt,box) : BSMT ,
Fee description Units Fee/Unit Ext fee Data
1" Meter? (Y/N) > 346 .73 Y
TOTAL DEPOSIT 346 .73
Application Fee? (Y/N) > 30.00 Y
MUST Customer provide pressure reg-
lator (pressure over 80 lbs.) ? Y/N N
Was Annexation Covenant Signed? Y
TOTAL COSTS 376.73
Method Check # Receipt No. Date Payment
CC P1-03008 06/20/01 376 .73
TOTAL THIS DATE ********* 376.73