1990, 04-12 Permit: 90001112 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
.W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 956-3675
I certify that I have examined this perm it/apphcabon, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authortze 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 Ail provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not 1 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= 90001112
DATE=:: 04/52/90 PAGE= 01
ISSUED PERMIT
*********************3E****** PERMIT INFORMATION ******%*nn3e********3t********
SITE:: STREET= 12513 E MAIN AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION
*** SEE NOTE ***
C86-2
PARCELv= 1554.3-2723A
PLAT; = 001 038 PLAT NAME== OPP. TR . 1 --354
BLOCK= LOT= ZONE= AGSUB DIST4= F
AREA= 00000000 E/A= F WIDTH= DEPTH= R/W=
OF BLDGS= 4 DWELLINGS== 1
OWNER= MC AI._PI.N, J W
STREET= 1:.'.51:3 E MAIN AVE
ADDRESS= SPOKANE WA 99216
PHONE:= 509 926 7595
CONTACT NAME= SIMPSON SANITATION PHONE NUMBER= 509 926 4785
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*************************.*..*.*.* SEWER PERMIT *a:****************************
CONTRACTOR= SIMPSON SANITATION
STREET= 7812 E IIAI DIJI:N AVE:
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PHONE== 509 926 4 781
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
*********..**..*..**.*..M.x*.**..*..*.*.*.*.*..**..h..*..*. PAYMENT SUMMARY***.x.*..*..h.**..**.*.*..*.M..**********..h..h.*.
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/12/90 1672 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 SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (4.56--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE:: AND CONFIRM TETE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE:: BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL_ BEFORE YOU DIG (456--8000)
SEWER ,STUBS ARE TO DE:: CHECKED PRIOR TO CONNECT TON TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE:: SEWER MAIN
******.*..*.*; CALL FOR INSPECTION PRIOR TO [::OVER *********.*
********* 24 HOAR NOTICE REQUIRED **********
**.*.*.*..*..*..*.*. 456-3604 **********
***'*****************•************ THANK YOU *********************************