1990, 04-17 Permit App: 90001528 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303BROADWAY-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 co,mm and authorize S ^ County to proceed with processing. In addition, / have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to com / ith same.All provisions ot laws and ordinances governing this of work will be complied with whether sn/oo
herein or not.I understand that the issuance of this permit/ap / atwnunounvoum,squontmanouionunvnvu/oortomooumam000unamyohannmuevonstmoom
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= 90001528 DATE= 04/17/90 PAGE= Oi
APPLICATION
****************************** APPLICATION *********************************
SITE STREET= 2i5 N %KIPWORTH RD PARCEL4= 16543-0315
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - B87-i
*** SEE NOTE ***
P �= 001854 PLAT NAME= OPPORTUNITY PLAT 3
BLOCK= LOT= ZONE= AG%i}B DI%T4=
AREA= OOOOOOOO F WIDTH= DEPTH= R/W=
� OF BLDG%= 41: DWELLINC;%= i
OWNER= FINKBEINER , BRUCE PHONE= ';09 922 7R79
STREET= 215 N %KIPWORTH RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LARRY COOK PHONE NUMBER= 509 466 2188
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ************************* ****
CONTRACT'-' � F�Y COOK EXCAVATING PHONE= 509 466 2188
_
STREET= /42O W JOHAN%EN RD
ADDRESS= NINE MILE FALLS WA 99026
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------------------- --------
PROCESSING FEE FEE Y 18. 00
%EWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 .00 50 .00
------------- ------------
50,00 ,00.00 5000
PROCE%%ED BY : JULIE SHA TTO
PRINTED BY : JULIE SHATTO
SEWER STUB A%-BUILT INFORMATION I% 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 CABL[%�
/'
CALL BEFORE YO - -�
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 *********************************
44,
311
S P O K A N E v e r1u:?ffFWV: 'Etas= C O J N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DPJISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: April 18 , 1990
TO: Larry Cook Excavating
West 7420 Johansen Road
Nine Mile Falls, Washington 99026
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
04/18/90 North 215 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 April 28, 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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