1990, 05-04 Permit App: 90001913 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 130313ROADWAY 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= 90001913
i FTI. TC; iii A/90
a#4k•?EV,VAEis%Y*Xa•*•9t3 hiti(ir)E*#ft##:t AF'PL:ICATtON **************.h*****************
SITE STREET= 13710 E MAIN AW: PARCFLt= 15544-4002
ADDRESS= SPOKANE WA 9921
PERMIT USE= SEWER CONNECTION ... I:••:06-2
x ** SEE NOTE *3E*
F:'L_AT:„:= 000642 PLAT NAME= DONAL_EF. ADD. �:FML_Y FRT.SKE 2ND A
BLOCK= 2 LOT:::: 2 ZONE=- SFR DIST4=: 1=
AREA= 00060000 F/A=:: F WIDTH= DEPTH= -
OF BL_DGS= X DWELLINGS= i
OWNE:R= DOREMUS, WILLIAM
STREET== 13710 MAIN AVE
ADDRE== SPOKANE: WA 992i6
PHONE= 509 924 Si S6
CONTACT NAME= WILLIAM DtOREMtJS PHONE NUMBER= 509
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR== NA
•x#*#*tii•*##•#•N.•*.. *****•1E•>t: i{..***.i4•k•K-k. k
CONTRACTOR= OWNER
I..L.EM DESCRIPTION
SEWER PERMIT
***.n:a: *:u...k..*.tt*.Aa*3 k•*u***** •*.k.•,i
PHONE=
QUANTITY FF:F AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE.: AMOUNT AMfIIINT PAID AMOUNT OWING
SEWER PERMIT 50.00 :. 00 s0,00
50.00 .00 50.00
`i
PRINTED BY: JULIE SI..IATTO
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604>
CONTRACTOR OR APPLICANT TS TO FIF1..D LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, ;AS PIPING, ::i CE::I i INF s, ECT
CALL. BEFORE YOU ;1: 56-;300(7:
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER i ,,Ir'u
x******** CAIL 1OK INSPECTION PRIOR TO COVE ***x************ 74 HOUR NOTICE REQUIRED # ••k•7i•#• (Yi••it**
R•*7i#*•)E 14i[ 456-3604
* ii• •lt •k• •fir * •)(• #'R *
:k#•iE##•#A#**** r:riE****:p-#•tE#ii*#***** THANK YOU *si:��###3ifi31?*iE*-i **:i#***fit•##� •id•iE:K#ii•ii•**
JOB ADDRESS: C. ( 5 `7 (o / la_f._i/7
SUBDIVISION: '' ) F %J �y -2 /j6(a LOT: G�jB`L�OCfK: J Q
OWNER: W I./ ( i (il ! / /� K PHONE:6U)/ bL)( ?/ 0 6,
ADDRESS:
CONTRACTOR: 1 (SCJ ` D -4
ADDRESS:
LICENSE #:
PHONE:
INSPECTION DATE:
TYPE OF OCCUPANCY:
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON. DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: May 7, 1990
TO: William Doremus
East 13710 Main Avenue
Spokane, Washington 99216
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
05/07/90 East 13710 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 May 17, 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.
17-90
WEST 1303 BROADWAY • SPOKANE. WASHINGTON 99260-0050 • (509) 456-3675
FAX (509) 456-4703