1990, 09-21 Permit App: 90004803 SewerSPOKANE COUVTY 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90004803 DATE= 09/2i/90 PAGE= 01
APPLICATION
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........... APPLICATION# * # # # # # •ri• * •k• •i:: v+• •n• * # #E # # # ii• * )r •>r i; iE # is it
SITE STREET= 11510 E MAIN AVE: PARCEL..„:= 16544-0434
ADDRESS== SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -.. B87—•1
**# SEE NOTE **•tt
PLATO= 001852 PLAT NAME=:: OF'F'ORTUNITY(TR. i -..i 42PJC . i 43-••35
BLOCK= LOT= 'ZONE= AGSUB DIST; = J=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=:
ro: OF BLLGS= .i N: DWEI...I...TNGS=:: i
OWNER= L_ARSON, E L_ & 8 J
STREET= 11510 E MAIN AVE
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME= LEONARD — I..I & S PHONE:: NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
############•x•###############•x• SEWER PERMIT * A ##### b:#•h••x•h•#•x••h.•h.x..h.•x..h..h:••h:u*:ri..A.x>rN:*
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E VAI_.LEYWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEF Y 10,00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SI-IATTO
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS _(.O FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB 1 RT0I, TO ANY OTHER
EXCAVATION
TC) LOCATE: BURIED CABLES, GAS PIPING, WATER LINES, F:CT.,
CALL.. BEFORE YOU DIG (456--8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
•ri#*# ..;;..;;.** CALL_ FOR INSPECTION PRIOR TO COVER ###;r#**3e•*•ba
####•> #### 24 HOUR NOTICE REQUIRED #####****
*•*•x•****••x•# 456-3604 .*•r:•u.••r:;,::....h.
....
it it �� �n� �u i�: it �)�: i�: �n �ir it 3r ){ �i� h: •)i� �i• �h: •k• # •)i• # ai• •it •k it• # �• •lr # # THANK Y ._ I..J •x• •)E #• •it •h •if # �i• it it #;r # iE R• )k �E •k •)�• •)r �i..ri..h. ii •lt• •hi •iE :ri..ii u: •u .,,..n.
JOB ADDRESS:
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SUBDIVISION: 1 CO ell 4 -6)11Z1 LOT: BLOCK: 6
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• R /14(3 OWNER: L 4 &w? 6 L r 8 C PHONE: /C�,{
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY:
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S P O K A N E{ '"t:::l MWV,P' ^` C O U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON. DIRECTOR DENNIS M. SCOTT. DIRECTOR
INVOICE
DATED: September 21, 1990
TO: H & S CONSTRUCTION
East 11817 Valleyway Avenue
Spokane, Washington 99206
Attn: Leonard
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: 09/21/90 PROPERTY
1904 Vercler Rd./90 4796
10615 Sprague Ave./91-4-82-6
13322 Blossey Ave./90=4-'8%4-
214 Farr Rd./ft-444a/
12808 Blossey Ave./9t-4821
13220 Saltese Ave./90 4819
12804 8th. Ave./9f8lr8-
105 Moffitt Rd./9n8-1-7
12920 10th. Ave.1-90=4-814
ADDRESS
12407 14th. Ave./90-4-805
1615 Collins Rd./9'Bf48— f6
12721 8th. Ave./99 48-04
11510 Main Ave./99-t8t512803 9th. Ave./90-48oe
13412 Saltese-flifl13-0-k-
13211 Semro Rd: -/-9-(1:1411.9,
13219 Semro Rd./ 4799
13017 Semro
Amount due and payable . S 4.5 '9256 Lj
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 2, 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