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
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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
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