1990, 08-15 Permit: 90003553 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
its permiVapplication, state that the information contained in It and submitted by me or my agent to compile
pokane County to proceed with processing. In addition.) have read and understand the INSPECTIO
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT —
PROJECT NIJMF?FER:- 90003"i53
APPLICATION
DATE
is true
DATF-:: 08/i5/90 PAGE= 0i
:C.SS(IED PERMTT
PERMTT :INFORMATION
91117 STREET- 1"E319 F iOTH AVE- PARCH_ '2543-0334
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWF_R CONNFMION -- 11R0i
x..*X .SFE NOTE ###
I°'I AT 0x)2965' PLAY NAME=: WOODWARD PARK ADD
Di O h I.OT = 10 7.0NF AGSHM D C til =
AREA= 0+0000000 F/A- FWI: DTH= i40 DLITH::: i4' R/U1 'a Gr
OF BI DGS:- DWELL TNGS= i _--
OWNER= 1: F ri STr 'VF PHONE= 509 9--4
J'OI r Nr WA 99206
CONTACT NAME- STEVE ROBERTSON PHONE 1hl rr.:: S. t:b
DUTI.DTNG .SE.THA( I.S: f I.UNT- NA I -EFT= YNA RTGH : NA RFAI,- - NA S
SFWFR PFRMIY'
CONTRACTOR= OWNER PHONE=
I:'r Fi:M DE.:.S'CRIPT'I:CIN nUAN'TITY FEE: AMOUNT'
-- .............
.................__-_..___......_ ... _...--_.... __..._.......
P R 0 C F S'S'T NGFEE Y 10.00
SEWER CONNECTION i 40.00
PAYMF:. NT .S'UMMAR'i #x'###Nkiti4##iu It if###ait.x..i knii if4k#
PAYMENT DAT- RECEIPT4 PAYMENT AMCII.iNT
08/i5/90 4744
_ __...
TOTAL.. DI IE- a 10101.. FI TD:=
PERMIT TYPE: FEE: AMOUNT
FEWER FI:::RMIT 50. CIO
SFr, c,D
AMOUNT ]::'AID AMOJNT OWING
SD.() ,..;
50.00
PROCESSED DY: J111,.1F SHA ITO
PR I: NI I:::D By: ,. UL..TE: .SHATIO
SEWER S'T'LIR AS BUILT 1. NF OF:MAT'TON T,S' AVA 1: L..AHI_F t`i T' ')'4{F MINTY1.11 [L IT:I ES' DJ-PARTMGNT' ( 56-3604)
CONTRACTOR OR APPI..ICANT IR TO FTU D O( ATF: AND I ONP:IL M THIN
I:.I NATION AND Pu r r TON 17F S( Wl n STiJ TI PRIOR TO nNY OTIil7i
XLAVAT ION
T(1 I Of APF BURIED CAME GAS PIPING, WAT'F�R 1-iNFE, FLIT,
CALL PFFORIF You DTf, (,U ,-f3k90Gi)
SEWII 111FOti AIRF TO FIE CHECKED PRIOR TO CANNFTITIN TCI INSIIFkp'
THAT' THEY ARE. CLEAR AND (jNOR,' TRurTFrr I'1 THF SI WFR 7'ATN
n#rcxnr### IAII F:OR' INSFFCTION rRlf7F' rfJ COVF::R ## x#0.####
'24 F{17118 NOTTCF i.l_(51.i T RFD
if i";X >.-#;a#.A at##:if####.y.;fx,i THANr: YOU
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT. DIRECTOR
INVOICE
TO: Mr. Steve Robertson
East 12819 10th Avenue
Spokane, Washington 99206
Please make checks payable and mail to:
DATED: July 27, 1990
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
______________________________________________________'T_____________ D
REF: Sewer Connection Permit Application ,�/� h
DATE PROPERTY ADDRESS (�xO ry FEE
07/27/90 East 12819 10th Avenue �("'�� �`� $ 50.00
Amount due and payable V' $ 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 August 8, 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.
U�cp-��
—j=v--
o WEST 1303BRO/gDWAY • S KANE,WAGTON 99260-0050 • (509)45.6}67
15
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