2004, 11-17 Permit: P0408660 Meter FROM : FAX NO. :509 443+1013 Nov. 17 2004 11:17AM P1
40V-17-2004 WED 10:26 AM FAX H0. F' '�1�'
60
DVTA.11TMEN't >1
S C)1V a E ENCINtilll>;1NI E ttt icr!s
808 W.Spo q t' u I, 131,,m.
SIoi.ANI,Wn,` '..I("N Y)2..01.32i,)
FAX
625-67MFAX (5(P))o2; f, f/191,ti•01 (,2 • : 1
'� �� t 1 1 www4.n..ul.'cin,IJ `.t..,aR
lt , tt11 �rfrk
*** METER PER/4i
ppNTRACTORs
n}.pliatdnt: ITRACTY CONSTRUCT/01 INC
r�Ir7"!):1EY CONSTRUCTION INC P 0 BOX 30792
PO 130x 30792 SPOKANE WA 99223
EIPO;Cnt3}: WA 99223
Phone9 509 R79 3 !!.0
1'tto119 509 8793420 ,
•
Issuode 11.f 17/0
til xl�la:r!' z�c�t k041 32 Validated by: DAL
Oroject Not
In applying for City water service, I agree: theme of.
1. :C am bound by City requirements, including
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 'oonnection
prior to covering.
3 . To pay all charges, including the DEPOSIT. .PRICE WILL
SE Oma?ECT TO CHANGE, it not installed within ono year
from the date this permit was issued.
Fuggier Dy: __, —.
ovittect.iout DOM
','C'ap On: 14T1"1 AVE
netwoo : CUSTER AND CHRONICLE spat #
s'.^IalurtTi 4705, E 14TH AVE YA No. of Units: 1
L'ar'ool Not 35233 .1201 Inside City? 0 . Acot Type:
L cg,:t.l J)e:7C: WOODLAND 'TERRA9EzADD1t� E47FT OF LT 8 AND W6FT OF' LT 9 ILK l
9 99212
�3owes: Sysi%ater Sys; 2ip 1 7 A
Meter Size - Meter Code' 1"t - 03
installed In (bemt,box) t BSMT Unite Fee/Quit Ext tc. 7a-n
Fee description •
47'i .00 Y
1" Domestic? (Y/N)
47J .00TOTAL DEPOSIT 3(i ;i0Y
Application Fee? (Y/N) > N
Outside City Connection? (YIN) . >
MilST Customer provide preeeu::-e reg- i
tato►^ {pressure over 60 1b3.1 ? Y/N NAt4 : Annexation Covenant Signed? 50 )0
TOTAL, COSTS Dat® Payi/0 c t
Method Check # Receipt No. SIC .00 Cc 0003 P9006769 •
11/17/ 04* cSC•' .00
TOTAL THIS DATE
NOU 17 2004 10.15 509 443+1013 PAGE.01