1990, 09-14 Permit App: 90004628 Sewer •
SPOKANE COUNTY DEPARRA4ENT 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
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JOB ADDRESS: G ' 6 ! Lila so 1fi)r--...,.
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SUBDIVISION: ( - 1 D� LOT: BLOCK:
OWNER: 6 b( ..izi PHONE: `io
ADDRESS:
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CONTRACTOR: 1) PHONE: �3 ( 36ADDRESS: J6 �'1 L� r C ` ( �
LICENSE #: Z 0 6 BC f `y`[ 0._-6
INSPECTION DATE:
TYPE OF OCCUPANCY:
S P 0 K A C O U N "I-
DEPARTMENT
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
1 �
INVOICE I
DATED: September 18, 1990
TO: WILCOX BROTHERS EXCAVATING
East 4505 6th. 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
REF: Sewer Connection Permit Applications
DATE PROPERTY ADDRESS FEE
09/17/90 South 516 Leta Road/90-4628 $ 50. 00
East 9519 Archery Avenue/90-4629 50.00
Amount due and payable $ 100. 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 October 1, 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