1991, 02-13 Permit App: 91000492 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 ¢vi.7;'+ %
P-.
T TCATt. / iI( i 9i
A
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,f77:1 -r .T:•,CET= 11 Ri 4 F MAIN AVE PARCEL4= 16544-0525
ADDRESS= SPOKANE WA 99216
PERMIT USE SEWER CONNECTION
ii** SEE NOTE N*
PLAT •r= 001235 `:.± -VT NAME= OP'P , T I• , 1 Vic:: d
BLOCK= 1 54 LOT= ZONE= AGSLIT:t 1_)I ST..�.= �-
At. EA= 110000 00 F/A= F WIDTH= DEPTH= R!t =
OF RLDGSW: i 4 DWELLINGS= 'f
OWNER= TUININGA, CYNTHIA PHONE=
STREET= i 'i 8 4 E MAIN AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ;-.EONARD - H t4. 5 PHONE NUMBER= 509 926 X964
E{U.i I_DING SETBACKS . FRONT= NA tEFT= LEFT=NA RIGHT NA PEAR= NA
34 H it +i it :n .x )k ii )t' •k * & } # ri ii #)t * •M• •* * •)f * •i( S E W I~ E PERMIT n >i' # it K : x * ^: ir: ik it ii r h)t * 1i 3i * it it rt
CONTRACTOR= H S CONSTRUCT:E 3N
STREET= 1181.7 L. vAI_L,.EYJJAY AVE
ADDRESS SPOKANE WA 99206
ITEM DES rCRIPTION QUANTITY
PHONE= .09 9:6 9964
FEE AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION , 40,00
00
PERMIT TYPE: ;AFF. AMOUNT AMOUNT PAID AMOUNT T'IwI'inr
"'W R PERMIT �W _ _.....
., 50..00 ,00 50,00
50,00 ,00 50.60
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE gkATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE: AT THE COUNTY
UTILITIES DEPARTMENT TMENT (t 5 —360 )
CONTRACTOR OR APPLICANT IS TO FIELD i Of"ATE AND CONFIRM THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
O LOCATE BURIED CABLES, GFS "PIPING, WATER LINES, ECT..
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO PE CHECKED PRIOR TO f17NNECTIO 3 TO TNs'UR..
THAT THEY ARE CLEAR AND HNOBETREICTET) TO THE SEWER MAIN
ri******** CALL FOI:'t INSPECTION P`IOR TO COVER • **_b:i ***fie#
iE**af.#h#i•*a& . 24 HOUR NOTICE REWIRED ) #3r7ti:•R•?fi***
a•3(itiF3k•ih4456-7'604 :*•; ***ge e'
PFi=ir)<•Y.•�e}t**#**it*ytls'#k•***itis*•**3 *•*3t•*•;e THANK YOU ****•)i•!l•)etiisieit:"
TO:
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: February 15, 1991
H AND S CONSTRUCTION
East 11817 Valleyway Avenue
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
PROPERTY ADDRESS
11814 Main/91/0492
2924 Oberlin/91-0497
1920 Skipworth/91-0537
11001 17th./91-0498
11005 22nd./91-0500
10920 19th./91-0501
11015 23rd./91-0502
10713 26th./91-0505
11211 23rd./91-0506
13020 22nd./91-0507
FEE PROPERTY
$ 50.00 11219
50.00 10907
50.00 ii.. 10821
50.00 '. 10720
50.00 NE-. 11004
50.00 .--"fh 11315
50.00 -'N, 11323
50.00 11/4 10806
50.00 10816
50.00
ADDRESS
25th./91-0508
24th./91-0509
22nd./91-0510
23rd./91-0511
24th./91-0535
18th./91-0536
20th./91-0539
21st./91-0540
21st./91-0541
FEE
$ 50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
Amount due and payable $ 950.00
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 February 25, 1991. 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