2001, 05-03 Permit: P0101974 Meter MAY-03-2001 THU 04:37 PM FAX NO. P. 03
LhTALU MLNT Oil
,') 'L,iK ;'., r‘‘‘, ENGINEERING SERVICES
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,^ 808 W.Srn1:ANr PM I.5 Bivu.
' , SI'l)ICANI�,WASI IIN(.1ON 99201-3343
(509)625 631()
FAX (509)625-6349/(509)625-6124
•
*** METER PERM T ' ** *
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: P0101974 Issued: 05/03/01
Project No: *9808134 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: 15TH AVE
Between: WILAMETTE ST AND CHRONICLE ST
STREET: 4812 E 15TH AVE YA Acct #
St. Width: 60 No. of Units; 1
Parcel No: Inside City? 0 Acct Type: RE
Legal Desc:
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; E ; 99212
Meter Size - Meter Code: 1" - 03
Installed In (bsmt,box) : BSMT
Pee 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 P1-01953 05/03/01 376.73
TOTAL THIS DATE ********* 376.73