1991, 11-01 Permit: 91006145 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 13M3BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oomfymot/»uvooxummoum/opam/ompnovuoon.omtomunx"mm,munonvontamou.nuonunuumntou»vmoonnvagenu000mnn"uumn rmit/application is true
and correctand authorize Sokane Conty to proceed with processing. In addition, I have read and understandmo /wapsoTmwnsoumsmsmTmmoTms
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 NUMBER= 9i006145 I%%UFD PERMIT DATE= 11 /01 /91 PAGE= D \
**************************** PERMIT INFORMATlON ****************************
%ITE %TREET= 13209 E 15TH AVE PARCEL44= 22544-234�
ADDRESS- SPOKANE WA 99216
PERMIT U%E= SEWER CONNECTION - WOLFCRE%T
G
***
SEE NTE ***
PLAT4= 002753 PLAT NAME= VERA
BLOCK- LOT= ZONE= Ac,;;RI
AREA= 00000000 F/A= F WIDTH= DFPTH= R/W=
4 OF BLDG%= i 41, DWELLINGS-
WAILR
OWNER= HOWARD PHONE=
STREET- 13209 E 15TH AVE
ADDRE%%= %POKANE WA 992i6
CONTACT NAME= LEONARD PHONE NUmBFR= 509 92A P9A4
BUILDING %ETBACK% 1 FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******* ***** *************** %EWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PH3�E= 5O9 926 �964
STREET- ii8i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DE%CRIPTIGN QUANTITY FEE AO!!NI
----------------------- -- ----'- ----'-----
PROCE%%IN� FEE Y iO . 00
SEWER CONNECTION
******************************* PAYMENT %UMMARY ****************************
P�YMENT DATE RECEIRT4 �AYM��� AMJU�T
ii /0i /9i 8264 70 . 00
TOTAL DUE-DUE= . 00 TOTAL PAID= 5O . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWIw/7,
--------------- ------------- ------------ -------------
%EWE� PERMIT 50 .00 5000 . 00
------------- ------------ -------------
5O . 00 70 . 00 . 90
PROE %HATTO
��INTED y : . !! ATTO
:-;EWER STUB A%—BUTLT INFORMATION I% AVATLABiF AT T!—iF 00UNTY
UTILITIES DEPARTMENT ( 456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM TF
I
ELEVATION AND POSIMON ;F SEWER STUB P�IOR TO A�Y OTHF�
EXCAVATION
TG LOCATE BURIED PlPING , WATER LINES : FCT ,
CALL BEFORE Y0] DJf..,
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECT[ON TC 7N%URF
THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
******»** CALL FOR INSPECTION PRIOR TO COVER **********
********* ?4 HO'JR NOTICE
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S P O K A N E a :1 --i{�ti;,. 3F4-1 C O U N T Y
DEPARTMENT OF BUILDINGS • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON,C.B.O., DIRECTOR DENNIS M.SCOTT,P.E.,DIRECTOR
INVOICE
DATED: September 23 , 1991
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 #91-6145
DATE PROPERTY ADDRESS FEE
09/23/91 \East 13209 15th 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 October 3, 1991. Failure to remit
this amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention.
fh
CODE ENFORCEMENT DIVISION
WEST 1303 BROADWAY•SPOKANE,WASHINGTON 99260-0550•(509)456-3675
FAX(509)456-4703