1999, 09-27 Permit App: 99009052 Sewer Project Number: 99009052 Inv: 1 Apilligation Date: 9/27/99 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: xr...• .� ..vHr. .r r ....�r..��H= xn .. •. . . m�...M�w .,.x....„..„,..x.,..=rn�..
Permit Use: SEWER CONNECTION-WHITE BIRCH Contact: BOGGS,MELVIN
Address: 14918 E 32RD CT
Setbacks:Front Left: Right: Rear: C-S-Z VERADALE,WA 99037
Phone: (509)922-0438
Site Information:
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Plat Key: 005236 Name: ARMSTRONG ESTATES District: F
Parcel Number: 45134.2305
SiteAddress: 324 N SHAMROCK ST Owner:Name: BOGGS,MELVIN
VERADALE,WA 99037 Address: 14918 E 32RD CT
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 12,960 Sq Ft Width: 90 Depth: 145 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In ormation: ,3m ixtsxulUt.:g3?c`. «4mv.ut:: 3 .v...,: ` .5i',£Taf3>"" w:......... .• s. .. .... ......,,33 •. mk . #
Department Review
UTILITIES Review by Utilities
Comments: O tin sr 0 t Fa P._ l I T• &F . t✓U(-n1 Ras 5e-is
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Permits: �sniS h°A`'a�'3 ^..`•>` 'Sd ti�`?,2x'.t:: oAt`siSa .Cr'5335.4sec`+.`. ,`.v5.5.:astv:< v .kmtt.< m. +5"•anti ;kms+. a•r, .w.
Sewer Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Payment Summary: x..tiasxa s�rac>�ra ,nam::vmtfsak�wsrar�s w xsxs s:st >t*�s�sh� « rr�aea >xx c.;sssr...., „:.:.. .•,,•.,, .;srs xaro-�x ccaa.
Operator: RMB Printed By: RMB Print Date: 9/27/99
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Notes:
BUILDINGS RESTRICTED TO 14 UNITS UNTIL PROPOSAL IS CONNECTED TO PUBLIC
SEWER.BUILDING SETBACKS SHALL BE MEASURED 25 FEET FROM THE EDGE OF THE
RESERVED FUTURE AQUISITION AREA.
Spokane County Division of Utilities
SEWER CONNECTION PERMIT Q I ( �--
APPLICATION FORM
PLEASE NOTE: This application form must be filled out accurately and in its entirety, and signed,or a permit will not be issued.
Also note that sewer permits are valid for 12 months from the date of issuance. No extensions will be granted.
PROJECT INFORMATION
Job address: Dry Line Owner's name:
c Sewer? Y/N ) AZU/ ez9
City: 6/1..e.,72 e City/State: / �%Z� � e cz-4
Zip: 77,9 -3 Zip: ? ?o 3 0
Parcel number(if known): , �` U Phone: ,e)
First-time contractors or home-owners performing the installation must first contact the utilities department(in person or via phone
[456-3604])before a permit can be issued. _
Name of Utilities Division person contacted:
CONTRACTOR INFORMATION
Contractor(company name): State contractor license number:
5 e- C�
Business address: Contact Name:
City/State:
Zip: Phone: Phone:
INTERIOR PLUMBING ALTERATIONS? Yno) circle one
Fill out the in ormation in the table below i a,'lie a**
Contractor (if different from above): Phone:
Business Address: City/State/Zip:
**For plumbing reversal,�ee rtsformatxon see re rse de oftht ferm
• •
FEE INFORMATION
Sewer Connection: Number of Buildings / X(times)$100(perbldg) = $ /6)C-)
TOTAL FEE
• For a single-family residential unit, one permit is required;
• For a condominium, townhouse, duplex,triplex or fourplex with separate ownership(as determined by lot lines)separate
address and separate stub, one permit is required per address per stub;
• For a single building duplex, triplex or fourplex with single ownership,one permit is required
• Multiple buildings(apartments, industrial complexes)with single ownership, one permit required per building connecting to
the sewer.
(For situations not covered here, call theCountyDivision of Utilities @ 456-3604)
APPLICANT SIGNATURE: 9//j-te--0-7-
% - Date: cy/ 2 ?
Return to:
Spokane County Division of Building&Planning
West 1026 Broadway Avenue*Spokane, Washington 99260
PHONE:(509)456-3675 *FAX:(509)324-3198*TDD: (509)324-3166
Spokane County does not dssatminate on the bans of dssabdtg to the adman=to,of treatment of employment in,its programs or act vibes. 10/14/91 \+A.e\.....
a
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: PHONE:DAYTIME CONTACT
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
PLUMBING FIXTURES #OF MULTI- COST
DESCRIPTION DETAIL UNITS PLIED BY /UNIT EQUALS AMOUNT
TOILETS WATER CLOSETS,BIDETS x $6 = $
B ':..URINALS - x $6 = $
fmiii.TUBS BATH,JACUZZI,SPA,GARDEN X $6 = $
#ini SHOWERS(per trap) BASE,STALL,ON-SITE BUILD X $6 = $
Mei:SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, X $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO,
X-RAY,FOOD(PREP/CULINARY/MEAT)
.tifir DISHWASHER - x $6 = $
.$SSB::.CLOTHES WASHER - x $6 = $
`BO -GARBAGE DISPOSAL/GRINDER - x $6 = $
111M WATER SOFTENER. - x $6 = $
Mt ELECTRIC HOT WATER TANKS (NOTE if gas water tank,see mechanical) X - $6 = $
.41 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 = $
:13.0.: OOF DRAINS/OVERFLOW DRAINS - x $6 = $
Iiik FOUNTAINS,DRINKING - x $6 = $
BI ' WATER PIPING/DRAIN-WASTE-VENZION,ALTERATION,REPAIR, r x $6 = $
:>>.PLUMBING REVERSALS REVERSALS
I 'SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
AR:WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B`18€ CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $ ..,
AND R.P.B.P.D.FOR:VATS,SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
*13)'•g:INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
.1 ;MEDICAL GAS(per outlet/bottle station)NITROUS,OXYGEN x $6 = $
�32i:MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FEE $25.00
❑ RESIDENTIAL ❑ COMMERCIAL TOTAL PERMIT FEE DUE $
SIGNATURE:AT RE:
Spokane County Division of Building& Planning IRPICAMcomrautvitrmanix
1026W.Broadway Avenue Spokane,WA 99260 ... .
.. ..... . . . ....
giniiiMiginiiiiige
Tel.No.(509)456-3675 * Fax No.(509)324-3198*TDD No.(509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
10/14/96 Vnastertplumpersn.htd