1990, 05-21 Permit App: 90002219 SewerSPOKANE COUNTY DEPARTMENT 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. 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
PROJECT NUMBER= 90002219 DATE= 05/21/90 PAGE= 01
APPLICATION
****************************** APPLICATION•*>**•>E•*••*•**••***•**•>f****•*****•>f
SITE STREET= 13121 E BL.OSSEY AVE F'ARCEL4= 27541-2029
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PL..AT4= 001844 PI...AT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 2 LOT= 10 ZONE= TFR DIST4= F
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 133 R/W=
4 OF BLDGS= 4 DWELLINGS= i
OWNER= AL.BERTS
STREET= 13121 E BLOSSEY AVE
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME= LEONARD H & S PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR=. NA
**********m:•****************** EE:WER PERMIT**********************•h****•***
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E VAL.L,E:YWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
PROCESSING F:E:E. Y 10.,00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEF:: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE: SHATTO
,00 50.00
SEWER STUFF AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPL.ICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456--8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL. FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
*******-** 456-3604 **********
******************************** THANK YOU****************************x•****
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L MANSON. DIRECTOR DENNIS M. SCOTT. DIRECTOR
INVOICE
DATED: May 21, 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
05/21/90 East 13121 Blossey Avenue $ 50.00
Amount due and payable $ 50.00
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 31, 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.
WEST 1303 BROADWAY • SPOKANE.WASHINGTON 99260-0050 • (509) 456-3675
FAX (509) 456-4703