1990, 06-13 Permit: 90001619 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND 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 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
:t.. : NUMBER= 9000!61
* i:' }+.;• jt-• i=[• 9t• 11- * J+i 9ji : 9?- .) •1t• 1'. *.) . •Ji• )k * * J: 9F i4• ik• i[• 3t- *
PERMIT TNFORMfj.{ Tr..i:e
SITE "t• i ti t::: E:: T = ;''1S F• E:: E{: E:` :1: N E:: RD
(At >' t.J t°•: 'ESE= F U lt, (• j" . WA 1 r9is 06
PERMIT USE= SEWEP CONNECTION — M..301
r4= 001 382 PLAT NAME= :: { :t. l`'f Bt -.t t...? t.i ii
AREA= 00000000
DATE= i E 06•'13%`?0 PAGE= Jl
ISSUED D !^ERMIT
:i!' :k• )* 1!• 1i:...p,..... i!' .. J!' .. /!' i. N..!..J!• Vii: a* }j. * .jj. * ;!!::* * *
PARCEL4= 21541-2903
4: DWELLINGS=
i
OWNER= D' (.:tMBt;i..,,.:.i.0 r M
.STREET= 523 S PE:.Ri"•`. i I``2t::. RD
ADDRESS= SPOKANE WA
NAME= LEONARD — H
122
PHONE= 509 922 0711
PHONE EN NUMBER= 509 926 ,','' 6A'.
SETBACKS: FRONT= NA LEFT= ' i ° G 'D .... NA REAR= j•, r::
is k:- :i* 'j i .ji..ii: it * * _4.:a: •j* 'j* b: i. ii• * •ii- n: •'r.• iR: ;* * •i+: * * •n; :s: ii'
SEWER ±..,.,±•, :' .Jy..il. .iti 9ii '1* iR: •P: liil 9e.:fli * ini -Pi * 'Ai •Pi iii iii 'J+i .iy.:Ji..q:.y;.. .ji, .;t. :l...fi..iy;
CONTRACTOR= t"I t CONSTRUCTION
"S.. SPOKANE WA '9206
JTEM DESCRIPTION
t:" tta t:'.. t '! DOES'
S ;"' ` j`: 1'..t :::' i"` I^ .1. t.. era
QUANTITY
PHONE= 509 926 O964
FEE AMOUNT
10,.00
1t * `±' 3}i Pr '}:i 'Pr :';•: 'k' 'i'1:• b:• 'Pi •R• •Pi * * •Pi 'it 'Jt• F: •R• * ;"..Sii Pi •Pi 'iii •iii Ji• xi * PAYMENT SUMMARY ;ii 3Fi 'Pi 'Pr $t• •Ni ai •Pi •lt• 'Jl• •iii •Pr }li Pi 'hi •Pr Iii * hi 'Pi •i4.* :a<..Pi
PROC
pr
PAYmENT DATE
TOTAL DUE=
PERMIT TYPE
EEWER PERMIT
'TED
Of::.+.i:='' ; PAYMENT AMOUNT
:•?09-
2997
.00 TOTAL PAID=
FEE AMOUNT AMOUNT PAID AMOUNT OWING
•`: 0 ... 50,00 ,00
,00
50,00
JULIE EHATTO
JULIE SHATTO
9 ;i: •1k 4!• •Jl• :`tr 94 7k 9±.:!• •lk '1h A• •P: 'hi S!• •li• "..:J* 4{' :N. .P:• Yi •)*'i* * •ri •R- Pi ai •Pi -iii THANK you ti: •Jt •P: 9t •P: iii :u: "i::: 4i• 1C it: •Ai '}li 'i* ik 9* iY •iii i i 9i; g* 'i: ik :ik i!• a: ;* i
°
SPOKANE COUNTY
w EPARTMENT OF BUILDING AND 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, / have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions ncluded herein and agree to comply wdh same. AII provisions of laws and ordinances governing this of work will be complied with whether specified
herein o,not. / understand that the issuance o/this permit/application anuonvauuoonuontmupomionunvnovamur Certificates of Occupancy shall not be construed to
give authority to violateor 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 onAGENT DATE
PROJECT NUMBER= 90001619
DATE= 06/06/90
ISSUED PERMIT
************************** PERMIT INFORMATION ****************************
%ITE %TREET= 523 % PERRINE RD
PARCEL4= 21541-2903
ADDRE%%= JPOKANE WA��2��
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 00i382 PLAT NAME= KIMBERLY SUB
BLOCK= LOT= 3 ZONE= SFR DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= 90 DEPTH= 122 R/W=
0 OF B
LuGE= 4 DWELLINGS= i
OWNER='AMBRO%IO� M C PHONE= 509 922 0711
STREET= 523 J PERR�NE RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD H & %
- PHONE NUMBER= 5O9 926 8964
BUILDING SETBACKS: ^ ~ ~
� FRONT= NA LEFT= NA RIGHT= NA - REAR=
' -=''NA~~' '^~ �'"`
****************
************* PERMIT *x****************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
-E----------- -------- ----------
SEWER CONNECTION i 40
^00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/06/90 2997 50.00
TOTAL DUE= 00 TOTAL PAID= -------��---
50.00
__
PERMIT TYPE
__ FEE AMOUNT _ AMOUNT PAID AMOUNT OWING
-
SEWER PERMIT 50.00 ��-•--- -------------
50.00 .00
PAGE= Oi
50.00 50.00 .00
PROCESSED BY: JULIE JHATTO
PRINTED BY: JULIE %HATTO
SEWER
TIES STUB
DA%-BUILTTINFORMATION IS AVAILABLE AT THE COUNTY
(456-604)
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 PIPINGWATER LINES, FCT
CALL BEFORE YOU DIG (45�-80OO) ' ' ^
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **** *****
********* 456-3604 *********
****************************** THANK YOU *********************************
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: April 23, 1990
TO: H & 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
DATE
04/23/90
Connection Permit Application
PROPERTY ADDRESS FEE
South 516 Union Road $ 50.00
East 13201 Blossey Avenue 50.00
South 523 Perrine Road 50.00
East 13004 llth Avenue 50.00
East 13006 9th Avenue 50.00
East 12021 6th Avenue 50.00
East 12901 Blossey Avenue 50.00
—South 408 Fox Road 50.00
East 12907 Semro Avenue 50.00
Amount due and payable $ 450.00
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 3, 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.
67-3
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509) 456-3675
FAX (509) 456-4703