1990, 03-29 Permit App: 90001183 Sewer�
SPOKANE COUNTY DEPAF1nmmENT 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 agentm compile said permit/appliCation/otmu
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
T NUMBER= 90001i83
DATE= 0/29/90 PAGE= Oi
APPLICATION
*************************** APPLICATTON .*******************************
SITE %TREET= 515 % FOX RD PARCFL4= 21541-162
ADDRE%%= %POKANE WA 99206
PERMIT U%E= SEWER CONNECTION 880i
*** SEE NOTE ***
PLATC= 001315 PLAT NAME= JANO%KY %UB OF RLOcK% 19i&i92
BLOCK= I LOT= 6 ZONE= AG%UB DI%T4= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/i„j=
C OF BLDG%= 0 DWELLING%= i
• OWNER= BELTER ALBERT
% FOX RD
• SPOKANE WA
ONTACT NAME= LEONARD — H& %
FRON7-• .(" ^EFT= NA
PHONE= 509 926 Y583
PHONE NUMBER= 509 926 8964
RIGHT= NA REAR= NA
• ***************************** %EWER PERM:
CONTRACTOR= H• CONSTRUCTION
%T" 11817 E VALLEYWAY AVE
AD,7POKANE WA 99206
ITEM
---------
PROCE%%IN� FEE
SEWER CONNECTION
rERMIT TYPE FEE AMOUNT
PROCE%%ED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
QUANTITY
--------
AMOUNT PAID
-----------
.00
-----------
.00
PHONE= 509 926 8964
FFF AMO!/NT
---------
SEWER %TUB AJ—BUILT INFORMATION I% AVAI1.77 AT 7�
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND �::::.%7:TION OF SEWER STUD P;',.:IOR TO ANY OTHE;
EXCAVATION
TO LOCATE BURIED CABLE% GA% PIPINGWATER LINES, FCT
CALL BEFORE YOU DIr (45}-8OOO) ' ' ^
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION -:::: I:JURE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE SEWER MAIN
********* CALL FOR I % E fION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
***************************** THANK YOU *********************************