1990, 10-12 Permit: 90004622 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that / have examined this penm/vuvn//u.on.ma�mmmom,ormuxonoonwnou/n/mnu,vum/uoouvmeonnv�entmoom�/em/upermit/application. true
and authorizeCTION REQmswsmrn/NOTos
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= 900122 ' — ' ?/P0 PAGE=
tSS|/FD PERMIT
********x**wx*pxlv*~y L:`...: ..A******¥****#***********
SITE STREET- 930 E MAIN AVE PARCFLO= 17543-1226
ADDRESS= SPOKANE 4A 99206
PERMIT USE= SEWER CONNECTION — A87-1
*** SEE NOTE ***
PLATO= 0O3703 PLAT NAME= BEAR% ADD (BLUE LINE ONLY)
BLOCK= , LOT= 12 7O0E= TFR DIJTO= F •
AREA- F/A= F WIDTH= 76 DEPTH= 130 R/�
4 QF BLW%= 2 t DWELLT_`::_,S= i
OWNER- PRUDENTE, JAMES 9 PHONE= 5»7, 77:7 9272
STREET= 9319 E MAIN AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEWIS — TOM STONE PHONE NUMBER= 51,9 97E1BUILDINC SETBACKS. FRONT=��ALEFT= NA -.TGHT= NA REAR= W,
***w**************w***w***** sEWER PF;:,7
CONTRACTOR= TOM STONE EXCAVATING PHONE= 50� 92:-
STREET= 1112 N MAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOHNT
—_�--��--____—_—_---_---_ -------- ----------
i0.00
SEWER 40.0
'^************** PAYMENT sUmmARy *****************»*****�****
P�YMENT DATE RECETPT4 PA?i1Ec-T AMOUN7
O/12/90 6331 50,00
------------
DUE= .00 TOTAL PAID=
FEE AMOUNT AHOUNT PAID AMOUNT OWING
------ --- ------------- -----
%E[P PERMIT 50.00 50.00
------------ --------
• 50,OO 50.00 .00
PROCESSED jULIE %HATTO
fllNTED JULIE SHATTO
JEWER STUB AS—BUILT INFORMATION IS AVAB-ABLF AT THF COx�
UTILITIES DEPARTMENT (456-3684)
.CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CJNFIRn
ELEVATION AND POsTTION nF SEWER STUB PRIOR T; ANY OTHF7
EXCAVATION
� �~
TO LQCAT[ ~�/RIED CA����/ GA,.; -WATFP
CALL BEFORE YOU DIG *5* -8000).
SEWER STUBS ARE TO F H PRIOR TO rO/����'`��[�� TU
T�WT THEY CLEAR ' ED TO TH� �EWF7� MAIN
»N*n*x4(46* CALL FOR INSPECTIONPRIOR TO COVrp °w*****4**
24 HOUR NOTICE' REQUIRED Kik*****
w*»*X**w* 456-36�1 ' *********
,
**ik*****,. -*******x»********* THANK T[U/ *****************y-