1990, 03-27 Permit App: 90001111 SewerA
-10
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
certify that I have examined this permit/application • state that the informatio^i 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 additrpn, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws andfordinances 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= 000i i i i
DATE= 03/27/90'f;:.'l: :=
APPLICATION
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*********E****************** 1t ii• 1i• APPLICATION 7E •)G k• Fi A ?t• k• iE H K •ir 7t•i`
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SITE .. ...I.Y i'„' ^"11: '! AVE:
ADDRESS= SPOKANE WA 9921 6
PERMIT USE.. 4;EV,Eri CONNECTION -- C06.-.2
NOTE A-**
PLATO= 001 F>3 :f PLAT NAME= OFT , .T.►.` .. 1-354
BLOCK= LOT= ZONE= iiG,`'•1-li-i
AREA. ";0;' 0 )')01'i r/tt . 1:: WIDTH=
0 OF BLDG:3= DWELLINGS= 1
OWNER= MC f`iI..F'.[I , ,.l W
STREET= 12513 F MAIN AVE
,ANF Wei 99216
DI ST'.1:..-..
•
CONTACT NAME= SIi`1F`SONANITATION F'HON; NUMBER= ;i,,, 926 75'
BUILDING SETBACKS: FRONT= NA 1..1-('T= NA F.1'(rHT= NA REAR= NA
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ITEM DE.. c:[z'IP T ION QUANTITY FEr. :,? (1I;i''."f
PROCESSING FEE Y 10,00
�
SEWER CONNECTION 1 '4•t( . }{
PERMIT TYPE _ i' _'`, AMOUNT t •' T'D
ZEWr_R PERMIT .._� 50.00 .�__-�-••___...__... 00
.. 50
50.00 „00 50.0E
PROCESSED B'• Y : JULIE SF'1F1 r..l O
UTILITIES DEPARTMENT (.45/.....3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THF
ELEVATION . HTION�E ANDF`OS POSITION OF" SEWER STUB PRIOR ]:OR TO ANY OTHER
EXCAVATION
TO LOCATE nhlR]:F.:D CABLES, GAS PIPING, Llr`,..-;j1;-4', i= -CJ,
CALL BEFORE YOU DIG (456-0000)
SEWER STUBS ARE TO .a.•: CHECKED PRIOR OR O CONNECTION ..i.i'
THAT THEY f`11..I CLEAR AND i.iFJI]BS T'1: 1.iC T t_•'i) Tfl THE EW tif=tT
'*#**•tt# * CALL FOR 1"---7111N � I.,,._.I O COVf�R •*• )r*ac..,;., g.
*KN****** HOUR C : i I'� i, REQUIRED ' 3F 3F • * k• 3t• ii 3i• •};• „.
***yi.*ti 1 ^E 1 •i' ii• � ri 1i• ) i 1hi1ri � it• is•i1: 1r nE i�THANK t tf : n 3r • ) ii b1r 3 r hih
n k *
S P O K A N E '(ISS v�-. " `' C O U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
,TAMES L. MANSON. DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: March 28, 1990
TO: SIMPSON SANITATION
East 7812 Baldwin 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, Permit Technician
REF: Sewer Connection Permit Application
DATE PROPERTY ADDRESS FEE
03/28/90 East 12513 Main Avenue $ 50.00
East 12509 Main Avenue 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 April 7, 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
REF: Sewer Connection Permit Application
DATE PROPERTY ADDRESS FEE
03/28/90 East 12513 Main Avenue $ 50.00
East 12509 Main Avenue 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 April 7, 1990. Failure to remit
this amount on or before this date will result in a double fee
being assessed. �� n
Thank you for your prompt attention.
40.14A) 11-4Vc,
tee..2
1 / 4
SSD. -0 /�ic.oG�a� "�/OU. to ,
WEST 1303 BROADWAY • SPOKANE,WASMINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703
JOB ADDRESS: f X 550'7• - E , 17-,t±
/^I
SUBDIVISION•
��� LOT:
OWNER: Pk /VCI
ADDRESS:
C�BLOCK:
PHONE: [ 062 '72b7
CONTRACTOR: )//r1 -(°S,772 f L z ONE:
ADDRESS:
LICENSE #:
INSPECTION DATE: /(;
TYPE OF OCCUPANCY:
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