1992, 10-27 Permit: 92009399 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 B,RQAQWAYAwENUE
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 correctand authorize Sx County to proceed with processing. In addition/have read and understandmo/wepsormwnsuu/nsmcmTmxxoT/cs
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 OnAGENT DATE
PROJECT NUMBER= 92009399
ISSUED PERMIT DATE= i0/27/92 PAGE= O�
**************************** PERMIT INFORMATION **************************
SITE STREET= 2426 S HOUK RD PARCELO= 45273.3401
ADDRESS= %POKANE WA 99216
PERMIT USE:: SEWER CONNECTION - 08801 (92%-1111)
*** SEE NOTE ***
PLATO= 000915 PLAT NAME= GAIL' PARK E TATE
BLOCK= 3 LOT= i ZONE= SFR
AREA= F/A= F WIDTH= 99 DEPTH=
OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= VANKE CARL
�
%TREET= 2426 HOUK
^ RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H & % CONSTRUCTION
BUILDING %ETBACK%: FRONT= N/A LEFT= N/A
i32
PHONE= 509 928 7606
R/W=
PHONE NUMBER= 509 926 8964
RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & J CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
----------
10.00
1 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/27/92 9536 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50.00 50.00 5O.0O .00
PROCE%%ED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES,GAS PIPINGWATER LINES, ECT
' ' '
CALL BEFORE YOU DIG (45"-8O0O>
SEWER STUBS ARE TO BE CHECKED PRIORTO 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 ****************************
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675 1 f •.
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 REOUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinan - • • erning this type of work w be complied with whether specified
herein or not l understand that the issuance of this permit/application an•-• :....- inspection : pprovals or Certificate •f.. cu•ancy shall not be construed to
give authority to violate or cancel the provisions of any stateor . . .w regulating construction, or as a arranty ofconforma provisions of any state or local
laws regulating construction .
SIGNATURE OF 'J •'PLICATION
OWNER OR ATE
PROJECT . NUMBER ' 2n.t)9v z"� ISSU,.-T) PERIM IT
*3(••k3i3(3i'3E3'3i3i3i3f'3i'3i&3t'3e*#'hi3('#3i'3P3t•*3.)i. PERMIT T .INFORMATION
SITE STREET= 2426 S HOUIC RD
ADDRESS= ,SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 'OM01 (9.'.S -i i i i )
/6** SEE NOTE. #3i*
DATE=:: 0/77/92 PAGE=: 01
3idi*3!3fb::3i3F*3i'3E**3i*3i3[ 3F3i3i'3i'343iri•.ri..u3(3i
PARCEL_,== 45273,3401
PLATO= 000915 PLAT NAME= GAIL'S PARK ESTATES
BLOCK= 3 I...OT i ZONE=:: ,SFR DI:STO== F
AREA= F/A=: F WIDTH= 99 DEPTH=:: 132 R/W=:
OF BLDGE= DWELLINGS=' 'i WATER DIST
OWNER="VANKE, CARL
STREET= 2426 S HOUI( RD
ADDRESS== SPOKANE WA 99216
PHONE= (.)9'x328 7606
CONTACT NAME= H R S CONSTRUCTION PHONE NUMBER=. 509 926 Si9r44.
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT N/A RISAl N/A
3i.3i.3(•3(•k•.A'd(i:'hiri•3i'.M..****313E'#'i::'k3i'34if3F'Y.•.u..M'3i SEWER PERMIT 3t##ii3fri'3i'
3('R'
r;OOTTRACTOR== H & S CONSTRUCTION
::i1NtET= 1i017 E: VAI._L_F'rWAY AVE:
ADDRESS=. SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
3A'3t',r3(
3i**)e3F3E3i33F3ik***3i****#)f
509 926 89
PROCESSING FEE
SEWER CONNECTION
s
3!'H'3l'R*31.%*****T.•3'M'H3l'3l•3l•** PAYMENT SUMMARY 3l'3I.**1I•'A'AA'Y:**K*'3*********A'A'RT•)!'A•*
4
16,,00
1 40.00
PAYMENT DATE RECE:LPT°, PAYNiI::NT AMOUNT
10/27/92 9536
50,00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .,OA
50.00 50,00 400
PROCESSED BY: DCMIT'RO'vi. H, ROBIN
_I -RI TFD HY:: ppmIIROVTrI-I, ROBIN -
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT 1456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POS'.I:TION 01'' SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LrNES, ECT.
CALL BEFORE YOU DIG (4.56--8000) -
SE:WE:R STUBS ARE: TO DE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
'1('3(i(a'3i3('3i•** CALL FOR INSPECTION PRIOR TO COVER 3F343iiH&3(3r3Hi
3('R••R31 3F3t'3('3i1(' 24 HCJUR NOTICE REQUIRED 3i3i3i3i3E3i3e3i3i*
3333331'*** 456--3604 3i3*3i*#3EH'3*'3(.
**********************it 3r><N*3(ii3i3E3i3( THANK YOU *****41:* -3i -3i air'ii'ii'*:3**33f3f3i'3f3i.vi'3C'#3i .1i.3i. 33f3i'3i3i)i
VENDOR
CODE
Rti-UND
NAME 11 & S CONSTRUCTION
ADDRESS
SPOKANE COUNTY PAYMENT VOUCHER NUMBER 132045
11617 EAST VALLEYWAY AVENUE
SPOKANE, WA 99205
ACCOUNT DISTRIBUTION, ORIGINATING ENTITY (ALL VOUCHER TYPES)
DATE
1.2/3/92
AGENCY CODE ENFORCEMENT
NAME
AUDITORS STAMP
0 1099 REO'D ID#
LINE
NO
VENDOR
INVOICE NUMBER
FUND
AGENCY
ORGAN-
IZATION
ACT
OBJ
SUB
OBJ
REV
SOURCE
SUB
REV
JOB
NUMBER
REPT
CATEG
BS
ACCT
DESCRIPTION
AMOUNT
JL -009399
401
435
0000
4241
REFUND
32.00
406
030
nnn9
2210
fr
8.00
DETAIL DESCRIPTION
1 & 2 80% REFUND ON PERMIT #92-009399 FOR 2426
PROJECT CANCELED PER COPY OF PERMIT WITH ROTATION ATTACHED
FUND
ORGAN-
IZATION
SUB
ORG
INTRA -GOVERNMENTAL VOUCHER
SELLERS ACCOUNT DISTRIBUTION
ACTIVITY
REVENUE
SOURCE
SUB
REV
JOB NUMBER
RPT.
CATEG
OFFSET
RECEIVABLES
A
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services
rendered or the labor performed as described herein or contracted
for, and that the claim is a just, due and unpaid obligation, and that
I am authorized to authenticate and certify to said claim
SIGNED
TITLE
DATE
I, the undersigned do hereby
certify under penalty of perjury
that sufficient funds have been
budgeted for this claim, the ma-
terials have been furnished, ser-
vices rendered or labor performed
as described herein or contracted
for, that the claim is a just, due
and unpaid obligation against
Spokane County or fund agency
indicated above, that I am autho-
rized to authenticate and certify
to said claim.
CERTIFICATION
SIGNED
OLCE ADMINISTRATOR
12/7/92
DATE
40.00
TRAVEL CERTIFICATION
I hereby certify under penalty of perjury
that this is a true and correct claim for
necessary expenses incurred by me and
that no payment has been received by me
on account thereof.
SIGNED
TITLE
DATE
EXAMINED and ALLOWED
DATE 19
CHAIRMAN
MEMBER
MEMBER