1990, 04-11 Permit: 90001087 Sewer SPOKANE COUNTY DC.PARTMENT OF BUILDING AND SAFETY
W. 1?O3 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 CT NIIi`irti:R=:: 9000-1087 DATE:: 04/11 /90 PAGE=I.- 0i
ISSUED PERMIT
3{•3t•3{3{•3k***3h3{•*3k***3{3F3k*3k#*N:*3t*** PERMIT INFORMATION 3t'**3k*3i*3{••**3t**3r;***•* •3.3E;r3t•3{• •3E3i•*
SITE: STREET= 210 N SUNDERLAND RI) PARC::r:i...41 '7543-••101 .4
ADDRESS= SPOKANE WA 99206
r:.F:RMI'T t.i:`.:'r:==: SEWER CONNECTION -• A07-1
1
*rt3E SEE NOTE *3f•*
PLAT4= 001835 PLAT NAME=== OPP.'TR.. 1 -354
BLOCK= 137 e LOT= ZONE= Arxkur4 DIST;::=
AR//E--"A•- ()00(:j()O()t? 7 F' 'A== l=• ( WIDTH= 01 DEPTH= i35 I'S�i•U _::
0 OOF7r't�LD4.Y�l=___ :M DWELI...INc;S::: •!
OWNER-: I::'ITZ_GERAL..D, JAMES PHONE= 509 926 4204
STREET= 210 N SUNDERLAND RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME== VIET 'KE:: EXC PHONE NUMBER= 509 24.4 9607
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
... .3f.R••k•3{•H: ik'M•3k 3k*3t 7{•34 3{. . .*3[ .•A.•*3>:3i 3i 3l SEWER PERMIT •m•;{•*3{•3i 3{•**# •******•k••x•**;':*3t* :*•u•p:*.A.
CONTRACTOR== VIE'T:Z.KE EXCAVATING, PHONE= 509 244 9607
STREET= a>')l i ,i CRAIG i..ID
ADDRESS= MEDICAL LAKE WA 99022
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40..00
3Fh•3[3{'3..3t•*3{3{.3{..x•*.p:.R**.M.***R•p.**3....tt.h: PAYMENT SUMMARY >i•*3t.*3i.R*3{.******#*#****3R* •3t*•h*
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/11 /90 4649 50.00
------------
TOTAL DUE= .00 TOTAL.. PAID= 50.,00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING.;
SEWER PERMIT 50.00 50.00 ,00
50.00 50.00
PROCESSED BY : STEVE HOLYK
PRINTED BY : JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE: AT THE COUNTY
UTILITIES 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, WATER LINES, E::CT.
CALL BEFORE YOU DIG 4458-0000)
FEWER STUBS ARE TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THIS: SEWER MAIN
3r**k•*3*** CAl...i... FOR INSPECTION PRIOR TO COVER •h}b?iii(•kk'#3k3{•*
3E3i•*3{•3t#3{• 24 HOUR NOTICE REQUIRED **** •3{3r3k**
kk3k#3{••k•*g* 456-3604 ** •ir:3(*3{..A3{3{'
R3Gie3{n•3{•3Eii3{•3r3r343E*ki{3k3E3k3{•fi•3F3f3E3t•3E3t•3F3E3{•3t* THANK YOU *3{•3{•3£•3i•**ii3i3F3t*****3t•**•*#3k*3{•3{•*3f•**3i•3t•3t3i
lj . .7*e‘
s t i
S P O K A N E . s, 9 Gfittl. C O U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: March 27, 1990
TO: VIETZKE EXCAVATING
South 2011 Craig Road
Medical Lake, Washington 99022
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
DATE PROPERTY ADDRESS FEE
03/27/90 North 214 Sunderland Road $ 50. 00
North 210 Sunderland Road 50 .00
Amount due and payable $ 100. 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 6, 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. CL L)
LI I
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703