1990, 08-28 Permit: 90003960 Sewer SPOKANE 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/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 of work will be complied with whether smvu
herein understand permit/application inspection
Certificates b000n�rueum
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 oRAGENT DATE
P�OJECT NUMBER= 900039602O
,ERMI |
* ****** ******************* PERMIT INFORMATION ****************************
%ITF JTREET= 5i0 % LETA RD PARCFL4= 22542-1233
ADDRESS= SPOKANE WA 99206
PERMIT U%E= %EWER CONNECTION - 88Oi
*** %EE NOTE ***
PLAT4= 000i62 PLAT NAME= BAUMANN ' %UB
BLOCK= LOT=
�RF� = OOO000OO F/A= F WIDTH= DEPTH= R/W=
. OF , �n�%= 0 DWELLINGS= i
�%AK%ON� R L PHONE=
JT�EE�^ �iO % LcTA RD
ADDREJ%= %POKANE WA 99206
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
�3ILDIN� %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
**************** ************ SEWER PERMIT ******************************
CONTRACTOR= H & E CONSTRUCTION PHONE= 5O9 926 8.264
%TREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DE%CIP-Tf.TIN QUANTITY FEE AMOUNT
----- -_---_------------- -------- ----------
PROCE%�IN� FEE Y 10,00
JEWER CONNECTION i
******************************* PAYMENT %UMMARY ********************* *** **
PAYMENT DATE RECElPTO PAYMENT AMOUNT
08/28/90 5067 50. 00
TOTAL DUE=•
DUE= . 00 TOTAL PAID= 50. 00
PERMIT TYPE
__ FEE AMOUNT_ AMOUNT PAID AMOUNT OWING
PERMIT 50.00 50 .00 . 00
------------- ------------
50. 00 50,00 5O.00 . 00
• PkCCE%%ED 3Y : J�LIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT I% TG FIELn LOCATE AND CONFTRMTH-
ELE;ATION AND POSITION OF SEWERJTDB PRIOR TO ANY OTHF* -
EXCAVATION
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