1999, 09-30 Permit: P9904510 Meter ElE
T T �T�, DEPARTMENT OF
1��11 V 1� ENGINEERING SERVICES
p "ash' SPOKANE808 W.SPOKANEWA FALLS99201-3343 BLVD.
(509)625-6300
) FAX(509)625-6349/(509)625-6124
» 1 1 1 1
* * * METER PERMIT ***
Applicant: CONTRACTOR:
MORT CONSTRUCTION INC MORT CONSTRUCTION INC
BOX 602 BOX 602
POST FALLS ID 83854 POST FALLS ID 83854
Phone: 208 667 6988 Phone: 208 667 6988
PERMIT NO: P9904510 Issued: 09/30/99
Project No: *9508801 Validated by: DAL
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: 15TH AVE
Between: CUSTER ST AND WILAMETTE ST
STREET: 4720 E 15TH AVE YA Acct #
St. Width: 60 No. of Units: 1
Parcel No: 35233.2602 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; E ; 99212
Meter Size - Meter Code: 3/4" - 02
Installed In (bsmt,box) : BSMT
Fee description Units Fee/Unit Ext fee Data
3/4" Meter? (Y/N) > 275 .00 Y
TOTAL DEPOSIT 275.00
Application Fee? (Y/N) > 30.00 Y
Outside City Connection? (Y/N) . > N
MUST Customer provide pressure reg-
lator (pressure over 80 lbs. ) ? Y/N N
Was Annexation Covenant Signed? Y
TOTAL COSTS 305.00
Method Check # Receipt No. Date Payment
CK 33647 P9-04272 09/30/99 305.00
TOTAL THIS DATE ********* 305.00