HomeMy WebLinkAbout1990, 07-30 Permit: 90003193 SewerSPOKANE 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 moor 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. ores a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90003193 DATE= 07/30,:90 PAG == 01
ISSUED PERMI_(.
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PERMIT INFORMATION YiiEiiYi43{KiriE•iPirieir'ieirvieieie3eir*dPrikd4Y
SITE: STREET= 104 N LOCUST RD PARCEL4== 17543--1614
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- A87--1
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PLAT;I:= 001835 ' PLAT NAME=:: OPP., TP:. 1 --354
BLOCK= 143 LOT= ZONE= A(:..SUT3 D:LS'TO== Pi:
AREA= 00000001 F/A=: E' WIDTH== DEPTH= R,.0=:
OF BLDGE= 0 DWELLINGS= i
OWNER:.: CARTER, ANDREW
STREET= 104 N LOCUST R0
ADDRESS= SP(CIIiNE• WA 99206
PHONE= 509 926 3611
CONTACT NAME= BIL_i_. ' SIMPSON SANITATION PHONE: NUMBER= 509
b(.J.ELDiNG SETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR= NA
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4781
1im1ARR3i3"PH*APHPAAY33H"*3PAR✓SEWER ''\ .P4p4HlJyjµhRASIA)YlYl
tl X' 'P:'il'9: ')<'
CONTRACTOR= SIMP',SON SANITATION PHONE= 509 92A 470i
SIREET=:: "731:' E: PAI.1)WIN A's'EC
ADDRESS= ,SPOKANE WA 99212
ITEM DE:SCRIPTiON QUANTITY FEE AMOUNT
_3333.. ... ___...._..........__- __33.3_3.-.._._..____....
PROCE,S'S'i.NG FEE • Y 10.00
SEWER CONNECTION i 40.00
#i4'ii'ii'Ai*3*-X**3**i(-'h:..*3*3*'.h:•.}k*3*.li'h'.****3i•31:i*3i PAYMENT SUMMARY.*'*..-**:**-x-*3****ai•**************
PAYMENT DATE RECE:PT:"T PAYMENT AMOUNT
07/30/90 4333 50,00
TOTAL DUE= .00 TOTAL PAID, .50.00
PERMIT TYPE FELE,AiM0UNT AMOUNT PAID AMOUNT OWING
.._.........._._..._......_.._ ............... _. 3333 .........._-..-.. ..._; ..._.a 00 5 ........ _. __-_.. .. M1....._..P _.._.._.._..__.. _..._.____....__..
SEWER PERMIT 500.00 .00
50.00
_..__..................__...._......_.........._..._.__............--- -3333
i} 00 5 0 .00 00
PFOCI::.S'SE_D FtY: JULiE SETATTO
I R:I:NTI:::0 BY: JULIE SI-IAT'TO
SEWER ;.'i: AS—BUILT INFORMATION .LS (-ti:r"-i:I.AEBI..E AT 11.1r:: r:UI.INr
UTILITIES DEPAR 1 MENT 1.45A-3604)
CONTRACTOR OR APPLICANT IS TO P'IEL..T) LOCATE AND CONFIRM THF
ELEVATION AND t O'TTTON OF SEWER,STUB PRIOR TO ANY OTHER.
EXCAVATION
TO LOCALE BURIED CABLES, GAS PEPINr,, WATER LINES, ECT,
CAL..L.. BEFORE YOU DIG (456-8000)
SEWER t'T(ins: ARE TO }+E CHECKED PRIOR TO GONNE
THAT THEY ARE. CLEAR AND UNnr,i"T'hClf;'Y'i: (? TO THE
Sri(tt'3('i('r:u'3c3e t::AL..i... FOR INSPECTION i RT'CIf TO COVER
i,:'***-1i-n:>ri,..k. 24 HOUR NOTICE P:'I:::t3t.i1i( i3
3t k1'i'P:Ri('3(1('3(' 450-3604
HON 'T'0 ENSURE
EWER MOTH
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{n;ii.':.;-..i..li ii'$:}}P�.. 3e.3t 3r'h'I4'ii it 'Pi'1("h'i('it'3Hi.3p'>tlt 3i1t THANK 1( TL 4I 'iP it'A'3l'3t it 3t'>fdi')(Jt 3F 3r if$t$3Ht ni'm 3t'hi it it 9t'1tiHHF'ni'i('3F
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DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
TO: Simpson Sanitation
East 7812 Baldwin Avenue
Spokane, Washington 99212
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:,
DATED: July 10, 1990•',
REF: Sewer Connection Permit .Application #90-319,
DATE PROPERTY 'ADDRESS:
07/10/90 North 104 ,Lucust Road ...
Amount due and payable
Pursuant to your request for the'above'sewer-ConneCtion,petpwe
are issuing an authorization to proceed with,. construction,\?however;:,.;
payment must be received prior to July 20,'1999;)
this amount on or before this date will result in a`double"ifee'fbein
assessed.
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260.0050 • (509)456-3675
FAX (509) 456-4703