2001, 03-23 Permit: P0101095 Meter f1AY-11-2001 FRI 12:31 YM
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DEIARTMEN'1 OF
C.' If/ t '`) t;1 ENGINEERING SERVICES
1 S, �.19'\,d , ,
p
,��, 80S W.511)KANP FAI I':Dm).
51\li,ANI•,WA!.IIIN*;TON 99201-3343
(5O ) 625-6300
FAX (509)625-6349/(509)625-6324
* ** METER PERMI ' ***
Applicant: CONTRACTOR: •
MORT CONSTRUCTION INC MORT CONSTRUCTION INC ,
565 GREEN FERRY RD BOX 602
POST FALLS ID 83854 POST FALLS ID 83854
Phone: 208 777 7000 Phone: 208 667 6988
PERMIT NO: P0101095 Issued: 03/23/01 •
Project No; *9908259 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: 16TH AVE
Between: MORRILL AND VACATED DEARBORN
STREET: 4415 E 16TH AVE YA Acct ## 7634/S7634
St. Width: 40 No. of Units: 1
Parcel No: 35233.2312 Inside City? 0 Acct Type: RE
Legal Desc: WOODLAND TERRACE LT 10 ELK 23
Tap Size: 1"
Sewer Sys;Water Sys; Zip 1 ; E ; 99212
Meter Size - Meter Code: 1" - 03
Installed In (bsmt,box) : BSMT
Fee description Units Fee/Unit Ext fee Data
1" Meter? (YIN) > 346.73 Y
TOTAL DEPOSIT 346.73
Application Fee? (Y/N) > 30.00 Y
MUST Customer provide pressure reg-
later (pressure over 80 lbs.) ? Y/N Y
Was Annexation Covenant Signed? Y
TOTAL COSTS 376.73
Method Check # Receipt No. Data Payment
CC P1-01103 03/23/01 376.73