1990, 06-19 Permit: 90001693 SewerSPOKANE 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/applicationpermit/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
m°om«u/at/nnuommmm/on.
SIGNATURE OF
OWNER onAGENT DATE
APPLICATION
PROJECT NUMBER= 90001693
PERMT}
*************************** PERMIT INFORMATION ****************************
%ITE.'
514 % FOX RD PARCEL4= 21541-1739
ADDREJ%= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 00i3i5 PLAT NAME= JANO%KY SUB OF BLOCK% i912
BLOCK= 2 OT= 6 ZONE= UNCL DIJTO= F
AREA= OOOOOOOO F/A= F WIDTH= 88 DEPTH= i38 R/W=
0 OF BLDG%= � DWELLINGS= i
OWNER= TROTTER. DON
'STREET= 514 % FAX RD
ADDRESS= JPOKANE WA
PHONE= 509 924 0017
CONTACT NAME= ROBERT A LONG PHONE NUMBER= 509 924 4782
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= ROBERT A LONG
STREET= 9415 % SANDS RD
ADDRESS= VALLEYFORD WA 99036
ITEM DESCRIPTION
PRouLESING FEE
SEWER CONNECTION
DOUBLE FEE CHARGE
PHONE= 509 924 4782
FEE AMOUNT
10,00
40,00
50,00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/19/90 3421 100.00
TOTAL DUE= DUE= .00 TOTAL PAID= iOO.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT iOO.00 100.00 .08
------------- ------------
100.00 100.00 iOO.00 .00•
PROCESSED BY: JULIE %HATTO
PRINTED BY JULIE %HATTO
SEWER STUB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATIG"
.. ^�ZURIED CABLES,GAS PIPIN� WATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE :AER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ********************************