1990, 04-17 Permit App: 90001525 Sewer SPOKANE COUNTY DEPARTM .T 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 c1 ~IE :_ 90001525 DATE=
a E = : $, i _ :9: PAGE= 01
APPLICATION
xxi*•'P.••Y'•••r'•x)*Mi*xx•P.•xxxii•ii•xa*•}*xita***i ** APPL.ICATIOXY! *******ii•ii-* * ••k•3i•***itii)i•*• 'ri*•k'•'n.i*•i* •iia••k•
SITE STREET== 12902 F SEMRO AVE PARt:;f.::l... ;: : :.).'7542—.180
ADDRESS= SPOKANE WA 913216
PERMIT I.JSE::-: SEWER JEi CONNECTION ••- 8201
xi*x SEE NOTE. ***
PLAT4= O';I846 PLAT NAME= OPPORTUNITY TERRACE 4T'11
BLOCK= 5 LOT= (_i PONE:::::: AGSI.Jf DI: S'T'M:=
AREA=: ',OOOOO'n.' F�:}':'A I::• WIDTH= 90 DEPTH= 136 I;;'L�:
4OFA BI...D(Y� '-• A- DWELLINGS= .!
• (:iUJNE::R:: i F i'1••!(:JU(:T , HARRIS PHONE= 509 92.4 064
STREET= 12902 I:= SI-MR(:i AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME:::: LEONARD ...• F•I ,'i< <' PHONE: NUMBER= 509 926 8964
BUILDING SETBACKS : FONT:::: NA LEFT= NA RIGHT= NA REAR= NA
)*. x:a••hi j**1*i*x i*x 1*x i* ..p:••J*x*x)*.h. .* .:' •1r:•x SEWER " : <1IT **"* * *N> Ak
* * iphrik *b * l * * *p *AA !p *
CONTRACTOR= I..I e: ,\ CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 F I...I...I. t•WlA`t• AVE:.
AIDDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE . 10 ,00
SEWER CONNECTION
PERMIT .T..YPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------
SEWERPERMIT 50.00 .00 50.00
50..00 ..00 50,00
PROCESSED BY : JULIE SHATTO
PRINTED BY : ...JUI...IF: 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 (:IT1.1(=(
EXCAVATIO
TO LOCATE EII..JRIF:D CABLES, (:TAS PIPING, WATER l...:I:NES, ECT:.
CAI...L.. BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
**m* **** CALL FOR INSPECTION F:'F.'IOR TO COVER xxx AP:.j*b:••1t:x•b:
a*x*xi**a* 3' 24 HOUR NOTICE REQUIRED x;*•r*xy*a*•r*f*x;i•
•i*a*,*..>:•i*•n:xx .456....:€6()4 a*.*3r.'x•r*•x';*•u:t*
xxxxxxxx•*••r*x***.. ai•* •xxxxi*.'xxxx*•*x THANK YOU x*x*x3r•a*xxxxxx*xxx •x***3'*x7*x•i*x••xx;*
X1111
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S P O K A N E .-- i::- .,�i ifue���._�;;,�t
.u��:- .' 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: April 18 , 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 Connection Permit Application
DATE PROPERTY ADDRESS FEE
04/18/90 East 12902 Semro Avenue $ 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
# per
FOR
DATE 1 ! !�� TIME '� F.N)
OF
PHONE
AREA CODE NUMBER EXTENSION
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SIGNED
LITHO IN U.S.A.
TOPS FORM 3002P