1990, 01-25 Permit App: 90000315 Sewer SPOKANE COUNTY DEPAHTMENT 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 permit/applicationis true
and correct, and authorize Spokane County to proceed with processing. In addition, I have reaand understandmo 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,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= 90O003i5 DATE= 01 /25/90 PAGE= Oi
APPLICATION
********************************* APPLICATION ******************************
SITE STREET= 1214 N %KIPWORTH RD PARCEL4= 16542-2111
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION
*** SEE NOTE ***
PLAT4= 004i59 PLAT NAME= ROBINSON ADD-
BLOCK=
DDBLOCK= i LOT= It ZONE= SFR DI%T4=•
AREA= F/A= F WIDTH= 86 DEPTH= 121 R/W= 50
4 OF BLDG%= 4 DWELLINGS= 1
OWNER= MCDONALD, GAR; D PHONE= 509 928 5793
STREET= 8423 E SOUTH RIVER WAY
ADDRESS= SPOKANE WA 99212
CONTACT NAME= ROBERT LONG PHONE NUMBER= 509 924 4782
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORHATIGN **************************
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
--------------- --------------- ------COUNTY Ul1LITIE% CONNECTION AGREEMENT REQUIRED 900125 SDH
------------------------------ ------ ---
------------------------------ ------ ---
***************************** %EWFR PERMIT `****************************
CONTRACTOR= ROBERT A LONG PHONE= 509 924 4782
STREET= 9415 % SANDS RD
ADDRESS= VALLEYFORD WA 99036
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 .00 • 50.80
------------- ------------
50. 00 .00.0O 50.00
PROCESSED BY : STEVE HOLYK
PRINTED BY : STEVE HOLYK
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING' WATER LINES, ECT.
SPOKANE 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
PROJECT i Nt.UMB1::.:` :::: 9000031 .. DATE= 01 /25/90 1:7t 02
CALL BEFORE YOU DIG (456....8000)
SEWER STUBS ARE E 1 :) BE CHECKED E`RIOR TO
CONNECTION -T O INSURE
t r:
THAT THEY i•i l t.::. CLEAR l...l"I I'°.- f••f N D UNOBSTRUCTED T,.. THE SEWER MAIN
J
..J J ). H P CALL t 1tINSPECTION . :Y ; ! TO COVER
, ..
t(.*$t•9tr"jti$k h.•Pt•!k it:
;i•:et;*11.1}..•yy..,.:J,.7t. 24 HOUR NOTICE 1`.1::.::{I..1.{.E+.1".1,! *******K**
f1 }7idi : h: : ,:..:.:* p* i: j: jJt: R t1iv*tTHANK
'(i.1{.i :t>..•Ji•"•:'•l:"i;':Y'J:'9t';t:?t••Jt 7!'7k 9:"9k:tr)i''Jt 9:i('Ht.**:Jt:j;..j••j'i? 3>.-:tti:;..}..tr.
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S P O K A N E ,i . e ,� : chd•e> C O U N T Ni-
DEPARTMENT
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: January 30, 1990
TO: MR. GARY D. MCDONALD
East 8423 South River Way
Spokane, Washington 99212
Attn: Mr. Robert Long
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 for dry line
DATE PROPERTY ADDRESS FEE
01/30/90 North 1214 Skipworth Road $ 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 February 9, 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
JOB ADDRESS: / Z 1 f /P '� T
SUBDIVISION: LOT : BLOCK:
OWNER: �� l j �e_ ;�Qt-( L i� PHONE: 2 Z / l 7
ADDRESS:
CONTRACTOR: 1c� .e i2 £0 s- PHONE: �y •//2 c"
ADDRESS: . 9 Vt 5 i'-_,A1 7 /-1--e ll
LICENSE #: L- 69 Ac i It— t7(c'
INSPECTION DATE:
TYPE OF OCCUPANCY: (L
r