1990, 08-21 Permit App: 90004095 SewerSPOKANE COUNTY DEPARTMENT OF BUILUING14ND SAFETY
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 violateor 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= 9000409' DATE== 09/21/90 PAGE= Ai
APPLICATION
•r:*it•****)E******h:3t•itfl:rt***#*ii•** APPLICATION ***di•*vi••ierr• lttrxn:.
SITE STREET= 13203 F MAIN AVF PARCFL4= 1 z;i: 44-2 k
ADDRESS= SPOKANE WA 99216
PERMIT USF= SEWER CONNECTION — C86
*it* SEE NOTE **
PL..AT4= 001 583 PLAT NAMF-: MCDO AI._D TRACTS
BLOCK= LO•r•_. ZONE= AGSIIM 1TSTe= F"
AREA= 00000000 F % A= F WIDTH= DEF`fH= Li •
r.
OF Ti._DG.>= i i; t)il. .. i.1vlr�y •.
OWNER=: LACEY, DARLENE PHONE=
STREET= 13203 E MAIN AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= JODI -•• A t• V PHONE NUMBER= 509 924 Ai ;"i2
BUILDING. EETDACKS FRONT= NA LEFT= rtA RIGHT= NA REAR= NA
x•* :**) •*** **R**r*K*)•3 **•* grwFp PERMIT
CONTRACTOR= A & V CONSTRUCTION
STREET= 1425 N UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
.*X 3 **** . k ********•*** *1**3i• 4i
PHONE= 509 924 6182
QUANTITY FEE: AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE. AMOUNT AMOUNT PATI) AMOUNT OWTNG;
SEWER PERMIT 50.00 .00 50.00 0 00
50.00 .00 50.00
PROCESSED) BY JULIE SHATTCI
PRINTED BY; JULIE SI.IATT0
.SE WEF'+ STI.JB AS•-BUII...T INFORMATION TE AVAILABLE AT THF COUNTY
LITILITIE" DEPARTMENT (456-3604)
CONTRAC.: , Ol: OR APPLICANT C: IS TO FIELD LOCATE: AND CONFIRM THE
ELEVATION AND POSITION or SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS F']:F'TNG, WATER I TNES, FCT,.
CALL BEFORE YOLI DIG (456--8000)
SEWER STUBS ARE TO BF CHECKED " TO CONNECTION TO TN. IIR r
THAT THEY ARE CLEAR AND UNOBSTRUCTED Tn THE SEWER MAIN
4******** ** CALL FOR INSPECTION PRIOR TO f'OVFP *ai•**•;r •* •**
24 HOUR NOTICE REQUIRED *****ai•***.x
**.y.****** 456-3604
S P 0 LC A N E 5 i�=. : ' ��-e C CD 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: August 23, 1990
TO: A & 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 #90-4095
DATE
08/23/90
PROPERTY ADDRESS FEE
East 13203 Main Avenue $ 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 September 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
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FORM 3002P
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