1990, 08-30 Permit: 90004095 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that / have examined this nwmit/ann//conon, state that the ,ntormation contained in it and submitted by me or my agent 10 compile said permit/application is true
and correct. and authorize Spokane County m processing. In addition/ have read d understandtoe/wopscT/ow 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
PROJECT NUMBER = 90004095
DaT�^ 8q/36/98 +�
J%SnFD PERMIT
**************************** PERMIT INFORMATInN *******x**************—
SITE STREET= 13203 F MAIN AVF PAprEL= 15944-774A
ADDRESS= SPOKANE WA 99216
PERMIT :LSE- SEWER CONNECTION
*** SEE WCTE ***
PLATt= 08i583 PLAT NAME= MCDCNALD TRACTS
BLOCK= ni= 7„ONE= AGEUR DTJT4= F
AREA= 080000O0 F/A= F WIDTH= DEPTH= P/U=
�
OF BLDGJ= 1 4 DWELLINGS= �
�
' .
B;�LDT-t
OWNER= LACEY,DRLN
STREET= 13203 E MAIN AVE
ADDRESS= SPOKANE WA 99216
%ETBACK%: FRON7= LEFT- NA
v******** SEWER PERMIT
AAONF=
HH3NE ;bx6509 5:24 61R?
RIGHT= NA REAP= NA
*****************k:********�'`,
CONTRACTOR- A ,N V CONSTRUCTION PHONE= 509 924 eYR2
STREET= 1425 N UNIVERSITY RD
ADDRESS= SPOKANE WA ?,;206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------ -------------- -^------
PROCESSING FEE FFE Y 10.80
SEWER CONNECTION i 40.0G
************xx+�*************** PAYMENT sUMMARY **************************
PAYMENT DATE RECEJPT4 PAYMENT AMOUNT
08/30/90 9144 5o^O8
TOTAL DUE= DUE= .80 TOTAL PAID= 50.0
PERMIT TYPE FEF AMOUNT AMO||UT PAID AMOUNT OmTNG
--------------- ---- - -
SEWER PERMIT 50.00 53^00 ^8�
------------
50.00 50.00 5O.0O .80
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE JHATTO
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE rOHNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT Tg TO FIELD i.O[AT� CONFTRH THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
BUR|c:7 WATER LINES, ECT,
CALL BEFORE YOU DIC (456~8080) , '
SEWER STUBS RE TO BE TO CONNECTION TO :INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THF SEWER MATN
********* CALL FOR INSPECTION PRIOR TO i7OVFR ***w***»**
********* 24 HOUR NOTICE REQUIRED **********
*x***w*nA 456-3604 **«*******
***N*****************«*******»** THANK YOU ******************************