1990, 06-26 Permit: 90002651 Sewer 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
! i t t.!j E r # NUMBER= 90002651 :
0 A
ISSUED PERMIT. - E
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SITE
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PERMIT USE= SEWER CONNECTION .... ..i-HI i ii .J.Y}
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STREET=W �••r; DALE E AVE PHONE=. ... `50`;! 9,.' 8�.
ADDRESS= SPOKANE WA 99206
CONTACT NAME=
EXCAVATING
PHONE
iiNINUMBER=
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509 ' `: ! i ? Y . NtSETBACKS : PR !` { . NA LEFT= N( RIGHT= NA REAR= NA
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CONTRACTOR= A:Hy EXCAVATING PHONE= 509 926 0682
ADDRESS=ES S= POKANE WA 99204 ...
• ITEM DESCRIPTIjN QUANTITY FEE AMOUNT
PROCESSING FEE . .
SEWER CONNECTION
40,00
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PAYMENT DA i:�....:.......:....._••t' PAYMENT
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06/26/90 3603
50,00
TOTAL #.1L!t::.:::: :•. TOTAL PAID=
PERMIT TYPE AMOUNT
...............................................
AMOUNT PAID AMOUNT OWING
SEWERP#::.R#"#.#. # 50,00 ,... ...._..____.._..___.................._....
50, 00 50,00 (-j{-.'i
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t.:P t.!i E G},::E!_J ,i Yr : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS-BUILT INFORMATION i.,:: AVAILABLE DEPARTMENT - { ty : COUNTY
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CONTRACTOR O APPLICANT POSITION . s i o FIELD LOCATE ANDD
IRM THE
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OTHER
EXCAVATION
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: HAT t H Y ARE CLEAR AND 7
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SEWER
CALL tINSPECTION PRIOR ,OCOVER ,
A* I NF; uP *4 HOUR NOTICE REQUIRED 9Ij } j4tj } .:} : PP {9fje56-36:4
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********** ****** *** ***** ** THANK
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DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: June 12, 1990
TO: Al' s Excavating
South 8017 Plymouth Road
Spokane, Washington 99204
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
06/12/90 East 10314 9th 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 June 21, 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