1991, 03-13 Permit: 90005002 SewerSPOKANE COUNT'? 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, 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= 90005002
4
TSSUED.PE..RMIT-. _ _DATE=.:: 03/13/91 PAGE= Oi
********x*iritrr*#iii*********** PERMIT INFORMATION **ac****rite****•*af•**ai**********
PARCEL4=• 1 6543- 0530
SITE STREET= 1-23 N MOFFITT RD
ADDRESS= SPOKANE WA 99206
PERMIT USE=' SELtJER. CONNECTION -- B8771
*** SEE NOTE *** -
PLATO= 001654 PLAT NAME= MOFFITT'S SUB.BLK.151 OPP.
BLOCK= LOT= ZONE= MFS D -IST:=
AREA= .00000000 F/A= F WIDTH= DEPTH=
:I:. OF BLDGS== i 4 DWELLINGS= V WATER DIST =
R/ W=
OWNER= ALL_EMAND/MOORE . - PHONE=
STREET=, 123 N MOFFITT RD _
ADDRESS= SPOKANE. WA 99206
CONTACT NAME= KAROL,- TOM'S':foNE: - PHC'NE: NLJMBE:R== 509 928 7710
BUILDING SETBACKS: FRONT= NA .-LEFT NA ,;RIGHT= NA ''REAR== NA-
**.*.*.*.163*flx***a****464***0**.**..*. SEWER PERMIT..
--- CONTRACTOR= TOM STONE EXCAVATING;"
STREET=' iii 2 N MAMER RD -
ADDRESS= SPOKANE WA 99216
_********k*********************
•
PHONE= 509 928 7750
ITEM DESCRIPTION QUANTITY
PROCESSING FEE
SEWER CONNECTION
-******* ******•*****_**if.3***,r3*3***
1•:
PAYMENT SUMMARY *
FEE AMOUNT
10.00
' tw
. 40 0
e
PAYMENT DATE. RE..CEI.PT4 PAYMENT AMOUNT
03/13/95 1217 50.00
TOTAL D.UE= .00 TOTAL PAID= 50.00.
• PERMIT. TYPE - FEE. AMOUNT AMOUNT PAID' AMOUNT OWING
SEWER -PERMIT - - 50.00 50.00 f i-' a 0 0
PROCESSED -BY.: JULIE SHATTO
PRINTEi:D BY: :.JULIE-.SHATTO •
SEWER STUB AS—BUILT INFORMATION I,S',AVAI:L_ABL_E:: AT. THE COUNTY
LUTIL..ITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES GAS PIPING, WAT, LINES,' ECT.
CALL BEFORE YOU DIG (45,iER
—8000):•'•.` . • .. '
SEWER STUBS ARE TO BE CHECKED -PRIOR TO CONNECTION'TO INSURE
THAT THEY ARE CLEAR AND.UNOBSTRUCTE.D TO THE SEWER MAIN- - -
********* CAI_.L.f-'OF< INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED• *********.*
*..*.****XX* . 456-3604 • _ **********. _ -
*
*•ii•di•***************************'* THANK YOU ******************'******•*'•**'**'****
5i.
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L MANSON. DIRECTOR DENNIS M. SCOTT. DIRECTOR
INVOICE
DATED: October 1. 1990
TO: TOM STONE EXCAVATING
North 1112 Mamer Road
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
10/01/90 North 123 Moffitt Road/90-5002 $ 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 October 11, 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