1990, 04-27 Permit App: 90001732 Sewer•
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this perm it/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing In addition, 1 have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
II: c) JECT NUMBER= 9000
hi• X:iiPi')LXXXXlEif)1. X' XX' X'' X )i
ITE STREET= 119 N BF" l_ ND
ADDRESS= SPOKANE WA 9921E
PERMIT USE= SEWER CONNECTION .... D86
ii iE iE S E E NOTE ii.:ri..y.
)
DATE= 04/27/90 PAGE== 01
APPLICATION
ii' )e )e di M iE iE * i iE * iii N. ii. * * iE iE')t '15 iE... iE )i
.CEI_ 14543--9062
FLAT4= 999999 PLAT NAME= RANGE
ALei,=
nv. ,.11
BLOCK= LOT ZONE=ZONE=(:h':i: Ei:'
AREA= 00000000 F/A== F WIDTH= DEPTH= R/LtI=::
,. OF i{LDGS'=: i ;i DWELLINGS= i
OWNEiR=. NELSON, DENNIS i.. PHONE=:
STREET= 11 9 N +ANNEN RT;
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD -- 1-1 S
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
'I•IONF: lN1_li1RER== 509 926 896.4
*i4'lEi7'hi'itii'iE *vti'iEi,}.h..p;iau..ii..ii..ii. ri..g. iu *)**)H* SEWER PERMIT ..)P#D'iE'p:dih)it.a.:it.p;.*iE *a: ** i4 **ii'ii'*h: k
CONTRACTOR= EI CONSTRUCTION
STREET= 14817 E:: t,AI I..EYbJAY AVE
ADDRESS= Sr(IKAPJE. WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYP"Ei: FEE AMOUNT
iE:WE:l• PERMIT 510,00
-.
0,00
PHONE== 509 926 W964
QUANTITY 1-I::E A. r1O1_JNT
AMOUNT PAID
.(i0
. (;)ij
10,00
40,00
AMOUNT T OW:I:NG
,00
5 0
PROCESSED BY: ,JULIE SHpTTC)
PRINTED BY: JULIE SHATTC)
SEWER STUB AS.. -BUILT INFORMATION IS AVAILABLE A. TOE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO F'i:E:i.D LOCATE AND CONFIRM IRM 1111::
ELEVATION AND POSITION OE SEWER ETUn PRIOR TO ANY OTHER
EXCAVATION
TC) LOCATE r:(IJI: i:r::D f"A81..ES, CTAS PIPING, WATER I :I:NES, ECT,
CALL BEFORE YOU DIG )1456—R000)
SEWER STUBS ARE. TO RE:: CHECKED PRIOR TO CONNECTION TO :r H511RE
THAT THEY ARE CLEAR: AND UNOBSTRUCTED TO THE SEWER MAIN
iE» )i•li' ')':X)i CALL FI1ire INSPECTION T:I:(:)N PRIOR T(::1 COVER 0*********
ii ii de di'it iE BE it,t 2.4 HOUR NOTICE REQUIRED =h#)E.l6.Y x)'it iE di..k'
rE.u..tt.ii.;ih..x.i<.iE .ate,^r_..;oniiQ Y;kii*=a:d@.H.iEri.*
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•
C O U N T Y
5/
/7
• DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: April 27, 1990
TO: H & S Construction
East 11817 Valleyway Avenue
Spokane, Washington 99206
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application
DATE PROPERTY ADDRESS FEE
04/27/90 North 119 Bannen Road $ 50.00
North 110 Houk Road $ 4)0,00
South 1610 Woodlawn Road $ 50.00
East 12513 4TH Avenue $ 50.00
East 12815 4TH Avenue $ 50.00
East 12818 4TH Avenue $ 50.00
East 12504 Houk Road $ 50.00
Amount due and payable $ 310.00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to May 7, 1990. Failure to remit this
amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention.
o -z
Cs16,61, 40
WEST 1.303 BROADWAY • SPOKANE, WASHINGTON 99260-0050 • (509) 456.3675
FAX (509) 456-4703