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2002, 10-02 Permit: P0205439 Meter DEPARTMENT OF SPOKANE ENGINEERING SERVICES '. 808 W.SPOKANE FALLS Bu n. 1 SPOKANE,WASHINGTON 99201-3343 (509)625-6300 FAX (509)625-6349/(509)625-6124 * * * METER PERMI ' ' �' � � ' ' ' ) ' * * * JOHN T.POWERS,JR. MAYOR Applicant: LOCAL MORT CONSTRUCTION INC MORT CONSTRUCTION INC 1910. EAST SCHNEIDMILLER AVE #B 1910 EAST SCHNEIDMILLER AVE #B POST FALLS ID 83854 POST FALLS ID 83854 Phone: 509 777-7000 Phone: 509 777-7000 PERMIT NO: P0205439 Issued: 10/02/02 Project No: *0011795 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: 14TH AVENUE Between: CUSTER AND CHRONICLE STREET: 4704 E 14TH AVE YA Acct # 100881/S101734 St. Width: 60 No. of Units: 1 Parcel No: 35233 .1708 Inside City? I Acct Type: RE Legal Desc: WOODLAND TERRACE LOT 6 BLK 17 Tap Size: 1" Sewer Sys;Water Sys; Zip 1 ; A ; 99212 Meter Size - Meter Code: 1" - 03 Installed In (bsmt,box) : BOX Fee description Units Fee/Unit Ext fee Data 1" Meter? (Y/N) > 367 .84 Y 24" Concrete Box? (Y/N) . . . > 434 . 82 Y TOTAL DEPOSIT 802 .66 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 832 .66 Method Check # Receipt No. Date Payment CK 4315 P2#04702 10/02/02 832 .66 TOTAL THIS DATE ********* 832 .66