1990, 06-06 Permit: 90001613 Sewer SPOKANE COUNTY �lE'P�b►RRrMENT 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 N ±'Bi _ a :t ; # : ix DATE= 06/0 e.')/90 " ? r- ( 1
ISSUED PERN:l:•
:,,:3F-*�f•*,:.:Ij*.ij.:}.:+}..jj.:,i.:}.:j.:::::::i*:(.:::::,j.:y.'j.:,j* .:_ .•,v , i T'{':.' •.,U j' ),j''it•i)i i t! )f t'!) i'i P 'I} til }. U•1. 1
:.........J...:.:.}.:.....}.1.RtLRt..c 1.R1i..1.i..... � #...#5,53. , :.!'.l t.±iw.{{f••, # .{.i..l#`N 7L=9':):1t':r:E::::.:•F'1:9i..:.p.j:.::i:::4:a.•u: i P.t•.t .,.4:
SITE STREET= .13004 F .{ .}.I"i f•?a'I=. F'4a R i-.E#...•„-•• 22.543-0026
ADDRESS= SPOKANE WA '}%921 :..
PERMIT USE= SEWER CONNECTION ...- ..i-01
•)i i•i!i SEE NOTE },•..y,.*
n r.
'-`i { i•iti !':':'t:! PLAT NAME= ;if}i.j i_i,ai A•= 1 PARK ADD
i_!Ld!{J{::.;'•._.. !:.( J:I:ii' r.?i i; r•i F PHONE= 509 926 0272
STREET= 13004 E iiTH AVE
ADDRESSSPOKANE WA 99216
CONTACT N FYl - LEONARD . iPHONE NUMBER= S: > 926 05e4
BUILDING DINt- E { i r:ii:::t:.,r : FRONT== A LEFT—
[...E+:: ... NARis!::,'i•.i'1 ::_ NA REAR= NAP:fi:iii*it'it•..'Ni.*iii..:iii'Pi ii:'hi it'..•Y•ilii...i>...P:ii:i{•:Hi i{'•Ai it 'F:,W F;:'•' i:'I:::PIM:I: f• c..iii•Pi'Pi*iii Iii ilii..'pi i!:'Ai....>;.iii.i,..i'' ir'ii;'Yi ii!iii'Pi iii:'i iii*
:
CONTRACTOR- H ':. CONSTRUCTION•t'F:'I i:;'''j.%1jV PF•i#..j;'?E ' 509 926 0964
STREET=... 1 i •i I::: +`fi?I...I I `•t`WA`t' AVEADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
'.•;;••.Ess I N!.. FEE i 10, 00
SEWER CONNECTMN
:,}...z.aI a{.:H H. }.:H !.:,.::::y.:}.:�.:�..;.:�.::;. ,:.'.' .i:.• •X•ii:*in•iii*** f-`A" 'i+••!'y '•�I:•'i''i(I,.'•'( iui fir Y'Pi•i{'iii dii'i(''ii?Ri in'r•P'r i�: :'R•'i!i-i!i'*iii iii i�}r.P:.P:.iii ir..pi.ill il.
.. :.,... .. R1... 1.:.k. ..1.1.t.i.t. .--.i.it.ik.LP a . . { s.:._,. ,.. ...(.{.. .{. .
PAYMENT rATF RECEIPT4 PAYMENT AMOUNT
06/06/90 3001 50,00
TOTAL# AL.. 11LiI::.:::: .00 TOTAL i i••?#._ I`r'!:..1.1 50.00
.............. . . ''F.,... FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 0 ...-0x00
•
50,00 50.00 .00
PROCESSED BY : .,'ii' I •- \l lr:i.i..1!:.1
PRINTED- BY : ..:i_1(....{.{::. S P'I F"•'t I # 'l.i
AS—BUILTSEWER STUB INFORMATION IS AVAILABLE ra t THE COUNTY
UT.,.L.
. T.r E f., DEPARTMENT 456-36o:'f,
CONTRACTOR !..;F•: APPLICANT I: �' ( i� FIELD LOCATE AND CONFIRM THE
P:.
, ,,x.v.•,• 1•.i '�.i,'... POSITION
... :.....i..r._,, OF
SEWER
" " "-'••: STUB
•,'T-t PRIOR 'v-i-'
' ANY OTHER
r'': T-"r;'•_
TOLBURIED}
CALL BEFORE YOU
(456-8000)
SEWER STUB5 ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT
4T iHARE CLEAR AND UNOBSTRUCTED TO THE SEWER' MAIN
N
•ii:•)i:•)+:'P:')i:•P:'H:'N::0.• CALL #"O F=: INSPECTION PRIOR , _-. COVER •) *p.•R u.*a x•i<:
H ii:*ii'i:.'i ;H ii:it 24
HOUR NOTICE
N1 - { IREQUIRED *****§****
::!•
:) Kp; : iHxc ^ „ d ' . : : HHsI :
.. ..... .. THANK ''t..�.,, ii•tt 9i•;n'li'lit'ik 9i•N•1` tiR'ii; ii'ii•l�it ii' it'iii ii-•i,;ii-i4'iii i}:ii:
1i'9t•;t 9h)i'tL•9i:1t li'li'•ti••'tk•lt•3i•9L'1k•tt:':9:'9i•9F.ii'ii'9i•ti'/•.it?i'9i'9k?i':ii ,
_- --
SPOKANESPOKANEUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY-AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675 ,_ _
|vom/ymut/have o^ummoum/npmm/onppnouoo,.om�mmmoinm,muuunoonmmoomnand auumnmuuvmoonnv� u
agent to said permit/application� m
on � o
/ 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 w th 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 OnAGENT DATE
•
PROJECT NUMBER= 90001 �13 DATE= 06/13/90 PAGE= 01
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13004 E 11TH AVE PARCEL4= 22543-0826
ADDRESS= %POKA\!E WA 99216
PERMIT USE= SEWER CONNECTION — 8801
AT�= 002962 PLAT NAME= WOODWARD PARK ADD
BLOCK= 8 LOT= 2 ZONE= AG%UB DI%TC= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= 1, DWELLIN,, = i
OWNER= GRIBNAU, A F PHONE= 509 926 0272
STREET= 13004 E iiTH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD — H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
* *************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
• ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT CATE RECEIPTC PAYMENT AMOUNT
06/06/50 3OOi 50,00
06/13/ 0 —^ - ' 50.00—
O6/i3/�0 3226
50.00
TOTAL
------------
TOTAL DiE= .00 TOTAL PAID= 50.O0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
, SEWER PERMIT 50.00 50.00 .8O
------------- ------------ -------------
�� ^ �' � 7 - ' .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE ,SHATT' /
* ******************+*********** THANK YOU *********************************