2001, 11-02 Permit: P0105858 Meter �1\10V-02-2001 FR 102:05 PM FAX NO. P. 05
DEPARTMENT OP
ENGINFFRING SLRVICEB
p
e,� 808W,SPOKANE FA,.,s BLVD.
SI(509)of Nr:,625-6300 W nsi oNGToN 992Oi-3343
FAX(509)625-6349/(509)625-6124
*** METER PERM'I
Applicant: DEVELOPER :
MDS SHULER INC MDS SHULER INC
5813 E 4TH AVE SUITE 102 5813 E 4TH AVE SUITE 102
SPOKANE WA 99212 SPOKANE WA 99212
Phone: 462-3027 Phone; 462-3027
PERMIT NO; P0105858 Issued: 11/02/01
Project No: *0011800 Validated by: LDN
In applying for City water service, I agrees
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
'rap On: 14TH AVE
Between; CUSTER & CHRONICLE
STREET: 4713 E 14TH AVE YA Acct #
St. Width: 60 No. of Units: 1
Parcel No: 35233.12011209 Inside City? I Acct Type: RE
Legal Desc: WOODLAND TER L9 B12
Tap Sizes 1"
Sewer Sya;Water Sys; Zip 1 ; A 99212
Meter Size - Meter C-- = 1" - 03
Installed In (bsmt .ox) : BOX
Fee description Unita Fee/Unit Ext fee Data
1" Meter?((Y 7) . . . . . > 346.73 Y
24" Concrete Box? N) . . . . > 409. 86 Y
T OTAL DEPO ,^ T 756.59
Application Fee? (Y/N) > 30.00 Y
MUST Customer provide pressure reg-
later (pressure over 80 lbs.) ? Y/N N
Was Annexation Covenant Signed? Y
TOTAL COSTS 786. 59
Method Cheek # Receipt No. Date Payment
CC P1-05501 11/02/01 786.59
TOTAL THIS DATE ********* 786.59