1991, 04-17 Permit: 91001431 SewerSPOKANE COUNTY DEPARTMENT- OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certifythat / have ned this agent o compile saidpermit/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 like! law regulating.construction, or as a warranty of conformance with the provisions of any state or local
laws regulating Construction -
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SIGNATURE OF APPLICATION
OWNER ORAGENT DATE
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PROJECT NUMBER= 9iO8143i ISSUED PERMIT � .DATE=r04/17/91 PAGE= 01
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***************************:P[RMIT INFORMATION *******.*********************
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SITE STREET= 12803 E_MAIN AVE' .'PARCE'L4=, 15543-2612 .
ADDRESS= rsnx^uc u^ 99216
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PERMIT USE= SEWER -CONNECTION - C86-2 '
. *** SEE NOTE ***
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PLATO= 8�� PLAT NAME= 1~J���.� '
BLOCK=—1.2r) . LOT= ZONE= AGSBU �DIJT4- ' F
� AREA= 8A088888 ' F/A= F . WIDTH= � 'DEPTH= K/W=
4� OF BLDG%= 1 4 DWELLINGS= i WATER DIET=
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. OWNER::: GREGER%ON/LRALPH .. :PHONE= /
STREET= 12883 E MAIN AVE '
ADDRESS= SPOKANE WA 99216 . .
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.CONTACT NAME= BILL - -%IMP%0N SANITATION - PHONE NUMBER= 509 926 4781
• .BUILDING SETBACKS: FRONT= NA LEFT=.NA R]GHT= NA REAR= NA -
**4"*********************** SEWER PERMIT ***************��***********
CONTRACTOR= SIMPSON SANITATION . PHONE= 589 926 4781
%TREET='7812 E BALDWIN AVE
, ADDRESS= SPOKANE WA 99212
ITEM -DESCRIPTION 'QUANTITY !FEE 'AMOUNT .
• --r--------�----�--------
PROCESSING FEE- - -18^08 .
, SEWER CONNECTION. . • -. 40^88' • .
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****************************** PAYMENT��/MMARY ****************************
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
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84/i7/91� 2138 . 58^80
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� TOTAL DUE::: '�88� TOTAL PAID= ;50�88
' • PERMIT, TYPE AMOUNT AMOUNT PAID AHODNT OWING
' ----------_-'.- -�----------' '--�--------- ------�-.-�--`
SEWER PERMIT. 58^OO� . 58.88' .88
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58^88 5O�O8
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-PROCESSED BY: JULIE %HATTO
: PRINTED -BY: JULIE %HATTO-
%EWER STUB A% -BUILT INFORMATION IS AVAILABLE AT THF _C[U'NTY
'UTILITIES DEPARTMENT (456-3684)
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CONTRACTOR'OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LDCATE'DVRIED'[ABLES| GAS PIPING, WATER LINES, ECT.
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CALL BEFORE YOU DIG(45u-8888) .
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY.ARE CIEAKN %T C TO TiE SEWER MAIN 'W
****�***** ��LL FOR INSPECTION N PIOTO COVER **********
-^ ********* r 24-HOUR NOTICE REQUIRED ********** •
********* ' 456-3684 • **********
********************************.THANK YOU *********************************
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