1990, 04-16 Permit: 90001183 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W.303 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90001183
**3*#3**•3*3**•*•*3*y*..*i***3*3*#3*3*3*3*3***3* PERMIT INFORMATION
DATE= 04/16/90 PAGE= :i
ISSUED 1-'E: RM1:'r
3* *. 3* 3* 3* 3* 3* 3* 3* 3* * * 3* 3* 3* 3* 3* 3* 3* 3* # 3 3* 3* l* 3* Y* 3•
S1:T•r::: STREET= 5i5 FOX RD I::'FiFt:f"E:.I...:N:_= 21541-1632
.:r
ADDRESS= SPOKANE WA 99206
PERMIT (.JSE::=: SEWER CONNECTION .... 8801
*** SEE NOTE ***
F:'I...ATo:== 00.1315 i::`i._AT NAME= ,.JANOisK.Y SUB OFBLOCKS' 191&i92
r.... CI C; K -= i LOT= r? ZONE= A (x . t I T:t D :FST :„ =
AREA= 000000 00 1:: ,/A=:: 1:: WI ('111 I)fDEPTH=
OF I: LD(.Y :::: 0 DWELLINGS= .;
OWNER= (:t E{:.i...Tl�1 , ALBERT
STREET= �%•! 5 ,z' FOX RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 r -
CONTACT NAi'ME::::: i...EC)NARD .... i••I & S PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT== NA LEF=T= NA IR'1:(:.Fd'1"=:: NA REAR= NA
3* •r* 3* • 3* 3* * 3{.... * 3* 3* 3* ri 3* * 3* 3;: * 3{. 3* •r:• 3* hr x * y. SEWER PERMIT •X b:• 3* 3 . * .1{ A: * X 3* 3 3* •i¢ •1* 3* y* 1* 3* 3 P: 3* 3* 3• it:• •J* •A: R• 3* •a• .
CONTRACTOR= hl & CONSTRUCTION
STREET= i i 81 r r 't AI...I...E:'T WA T' AVE
ADDRESS= S ., C) 3� ... WA 99206
PHONE= « 09 926
26 ,9?/
:ET'Ei1 DESCRIPTION QUANTITY FEE AMOUNT
•
PROCESSING 1:'EE:. 7 10.00
SEWER CONNECTION '! 40.00
3* 3* 3* 3* 3* 3* •h: 3,: y*..p•..}*..A . •i* •M• #i 3* * * }* •i* i':)1 3{• 3* 3* 3* 3* * 3* 3* PAYMENT S(JPiMARY 3* 3* 3{. 3{• 3* 3* 3* 3* 3* 3* 3* .A. 3t• .j* 3* .• b: 3* k• 3* P: 3* y 3* 3* 3* 3* 3*
PAYMENT DATE RECEIPT::: PAYMENT AMOUNT
04/13/90 1738 50.00
TOTAL DUE= .00 TOTAL PAID= 50.:00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE
SEWER STUB AS—BUILT :I:NFORiMAT:I:(1N 1:S AVAILABLEATTHECOUNTYUTILITIES DEPARTMENT (456-3604)
CONTRACTOR TRA(:'TOR C)R APE:'i...:I:CANT. IS TO E:'1:EI...D LOCATE AND [::OiNFT.RM THE
ELEVATION V'AT:I:Cir.N ANI) POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO I...00::ATE:: B(JRIEi) (::AI:ti..ES, GAS F:'1:F:'1:N(:;, WATER LINES, E::C''i',
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE:: TO TtFE CHECKED PRIOR T'(1 (:'ONNE:CT1:ttia TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO T1..11:" <SEWER MAIN
3*3**3**•h;•x•3*3* (*iI...i... i::'(:)Ft INSPECTION NOTICE rREQUIRED
1I';:I:(1F�:_T(:l (::(1bCOVER*•�:••3,..b:3*3*i*..*
* }* !! i* 3* 3{' 3* 3* 3* t� 4 HOUR .1. (.: i::. Et:1::. l (.J .i. F'; E (} 3* 3* 3* 3* 3* 3* 3* 3* 3* 3*
456-3604
5.3q
h. * * 3;. 3,. 3,. .:?* 3* 3* * * 3* 3* 3* •K• 3* 3* 3* 3* 3* 3* 3* 3* i* 3{• 3* ••t* * •'t* 3* 3* THANK Y O (J 3* 3* 3* 3* 3* * * 3* 3* 3* 3* R 3* 3* 3* 3* 3* 3* 3* 3* 3{.:1* 3* H:• 3* 3* 3* 3* 3* 3* 3* 3* 3{.