1990, 03-05 Permit App: 90000731 SewerSPOKANE COUNTY DEPAR'TM NT OF BUILDING AND SAFETY
.W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/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, I 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 l 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
PROJECT NUMBER= 90000731 DATE= 03/05/90 PAGE== 01
APPLICATION
....
or x' 3i� )i..H..)i..h.:ri..)ti. 3ix ii� iiii� 3i� �x n �tHi k * * * * k * * * 3i' APPLICATION
3c943i1i3F3i#33G3iii3 3*di....ii.:,i.x3ivi*ii'3. ii fl*** 3F3i3i
SITE STREET= 13016 E E ..OSSEY AVF: PARC E: L 4= 27";42.1 `.5:.1
ADDRESS=:: SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION N -- 180i
3i'3t3E ,SEE NOTE +iii..>r
PLATY= 001844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADI)
BLOCK= 6 LOT= ZONE=: A)(::SUri D:CS'T':K–
AREA= 00000000 IT A=: i- WIDTH== 85 DEPTH= 136 R/W=::
OF BLDGS= T' DWELLINGS= 1
OWNER= ANGLESEY, ROGER
STREET= 13046 E Fil_O,CSEY AVE
ADDRESS- SPOKANE. WA 99216
PHONE= 509 922 7694
CONTACT" NAME= LEONARD ..- H & S PHONE NfIr4AI::;'=- 509 9 6 8964
ri(.I:I:I...DI:N(.. SETBACKS: FRONT=: NA LEFT=:. NA RIGHT= NA REAR= NA
li*-0i'1i.31'x'3i.;i'.k'.**3i'ii Liai.dp;p.hi .p1 .Y..lk .**3*.ii..li3 .k..i,. ;SEWER PERMIT 3ry3i.3F*'k)i'.li'h.Ir.)i.k..*.lrx-X-3*)aMX* .k--)*X•.R..li... 'ri'3i'
CONTRACTOR'::: H & S CONSTRUCTION
STREET= 11617 E::: 'b'AI...I...E::YWAY AVE
ADDRESS= SPOKANE:: WA 99206
PHONE= 1509 926 1:1964
ITEM DESCRIPTION QUANTITY FL:F:: AMOUNT
PROCESSING FEI-: Y 10.00
SEWER CONNECTION 1 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50,00
50.00 .00 50.00
PROCESSED BY: JULIE SI-IATTO
PRINTED BY: JULIE SI-IATTCI
SEWER STUB AS–BUILT INFORMATION IS AVAILABLE AT THE: COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS To FIELD LOCATE AND LONFIRM THL:
ELEVATION AND POSITION OF SEWER s T UF3 PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE. PURIEI) CABLES, GAS PIPING, WATER I.INE:S, ECT.
CALL_ BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO Tt—SW E
THAT THEY ARE CLEAR AND UNOBSTRUCTED To THE SEWER MAIN
x4i:.x..x.3i.**** CALL FOR INSPECTION PRIOR TO I;O\+Fi:R xr43i#)uxx:)ixx
363i3i'.hi* k»—)t 24 HOUR NOTICE REQUIRED rr3f3r3i3a<e3e3k3tx'_
3i * 3i. 3i. 3F 3i. )i..),. x. 456-3604 x. 31: 3i..x..x. 31.3i..)i. 3i. x.
!4'ri''3i'31'31"11"li"R''x331"x33i:'li'li'D.'P;'li"m'1i'li'3t 31'3t'3l"lk 3i'3i"x'3i. 3t 31. 31. THHNK1... *************************),*Y*)
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON. DIRECTOR DENNIS M. SCOTT. DIRECTOR
INVOICE
DATED: March 5, 1990
TO: H AND S CONSTRUCTION
East 11817 Valleyway Avenue
Spokane, Washington 99206
Attn: Leonard
Please
make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Permit Technician
REF: Sewer
DATE
03/05/90
Connection Permit Application
PROPERTY ADDRESS
East 13016 Blossey Avenue - 90000731
East 13016 Blossey Avenue - 90000734
South 505 Leta Road
South 1809 Vercler Road
East 12919 Forrest Avenue
East 13005 Semro Road
-
Amount
FEE
$ 50.00
35.00
50.00
50.00
50.00
50.00
/1
1 ... 50oo-^
Clc—�_ n C _Ci
op
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 March 15, 1990. Failure to remit
this amount on or before this date will result in a double fee
being assessed.
3 2-7 -`75
L.�-8vccz��
due
and payable
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE, WASHINGTON 99260-0050 • (509) 456-3675
FAX (509) 456-4703
JOB ADDRESS:
11 -6TH
SUBDIVISION: 6' 6
OWNER:
ADDRESS:
l
LOT .V BLOCK:
PHONE: / t2O`-j"
CONTRACTOR: r S
ADDRESS:
PHONE:
LICENSE 41:
INSPECTION DATE:
TYPE OF OCCUPANCY: