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1990, 11-15 Permit App: 90006209 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS 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 PROJECT NUMBER= 90006209 r;ATF = � �' /90 f•'•tPPI...TCf}T Ctli PAGE= 01 *E**r*c*i•**£.*E**i•**i**i**e*a•*i**r*i*i•*i*i**i** APPLICATION*t*t•ri•#*i•*r*i•*i•#*F*#?i#*kk•*tn*Eai•#*ir•fi•'r.a:*i•i@*i#h: SITE STREET= .1 1 04 E MAIN AVE PARCEL4= 16543-0599 >> ADDRESS= SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION ••- B87-•1 *• * SEE NOTE **r* PLAT== 001654 F'I...AT NAME= MOFFITT' S SUI:f.,BLK . i 51 OPP. BLOCK=S LOT= ZONE= UR -12 DI:ST;= AREA= 00000000 F/A= F WIDTH= DEPTH= 4 OF BLDGS= $ DWWE.LLINGS= OWNER= BAKER, ROBERT PHONE= STREET= 11104 E MAIN AVE ADDRESS= SF'OI<.ANF: WA 99206 CONTACT NAME= JODI _.. A & V PHONE NUMBER= 509 924 61 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= r4 *E *i• *i• *o'r *f *# *i• * *i k k * # *i• *i• * *E •a• 3i• *i• •h:• •ii• it• *i *i• *( *t SEWER PERMIT *i• *i• * *E *[ : *E• * • a• •b: * ii• :d• *i ai• •h• •n *i• *F *i •ii• •ii• * *r: -z *i•' * *i CONTRACTOR= A & V CONSTRUCTION STREET= 1425 N UNIVERSITY RD ADDRESS= S- SPOK ANE WA 9 206 ITEM DESCRIPTION QUANTITY PROCESSING FEE SEWER CONNECTION 1 PERMIT TYPE FEE AMOUNT AMOUNT PAID SEWER PERMIT 50A0 .00 PHIONf= 509 924 6182 FEE AMOUNT 10,00 40.00 AMOUNT OWING 50.00 PROCESSED BY: JULIE SHAT•TO PRI:NTED BY: JULIE SI••IATTO SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456--3604) CONTRACTOR OR APPLICANT IS TO FIELI) LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURI.ED�.CArl...EE4 GAS PIPING, '`` ,.F -R LINES, FET, CALL BEFORE YOU DIG (456-8000) SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TC) INSURE THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN ***t*t* **e* * CALL.. FOR INSPECTION PRIOR TO COVER *ib*c *cri*t*.h *t**,:*F*i•*>:*E**i 24 HOUR NOTICE REQUIRED •* *c*i•*i•*k***i-*r X******** 4 6-..360A *i• *E * *i• : *i• *t A• *i • **********************0?******** THANK YOU * *c x• *i *E *i- *E *i• * *E *i- ri *s. *E *E *i• *i• * # *i• # *i *E *:• *F *i• *f h )a *iL * }i• *i- DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT JAMES L MANSON, DIRECTOR DENNIS M SCOTT. DIRECTOR. INVOICE DATED: November 16, 1990 TO: A AND V CONSTRUCTION North 1425 University Road 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 11/15/90 East 11104 Main Ave./90-6209 $ 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 November 26, 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 Hit 9a bC-C k `iib' (P5g3-655 Jot+ B