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1990, 11-05 Permit: 90005915 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS 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 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 � r OWNER OR AGENT i!. DATE PROJECT NUMBER= 90005945 DATE= 11/05/90 PAGE=: CIS ISSUED PERMIT k*******3i;*3E**3e*******_*******, PERMIT. INFORMATION **************************.*.*. SITE STREET= 920 S MCDONALD RD PARCEL == 22543--0444 - ADDRESS= SPOKANE WA 99216 - , PERMIT USE= SEWER -.CONNECTION FOR RESIDENCE .. *** SEE NOTE *** PLATO= 002962- PLAT NAME= WOODWARD PARK ADD BL_OCK.= 4 -L_OT== 10 ZONE= AGSUB' DISH= -- - E' AREA= 00000000 F/A== F WIDTH= 145 -DEPTH= 142 4 OF. BL..DGS== n DWELLINGS= .1 'OWNER== CHAL..ICI-I, G. ' STREET== 920 S MCDONALD RD- ., ADDRESS= SPOKANE:: WA 99216 - PHONE= CONTACT NAME= JACOBS EXC. INC. PHONE NUMBER== 509 924 2355 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA - * *. * .* .* * *. *..*..*..*..k..*..*. *..u..ft..* .h..h.:ti ti * * 3i *..*. *..M. - S E:: W F.: R. PERMIT Jiff it ie h: H• 3i fi r( ri..p..}t..tt..tt..*..*..h..h..k..li * .h..h..A..*..tt..*..*. *. {4. CONTRACTOR= JACOBS EXCAVATING 1410NE=:: 509 924 2355 STREET= 13420 E SALTE:SE AVE ADDRESS= SPOKANE -WA 99216 ITEM DESCRIPTION • QUANTITY EEE: AMOUNT - PROCESSING FEE Y 10_06-: SEWER CONNECTION S 40.00 **i(..tt**.*.*..JE***.:M..p.**..***.*.*.*.*.***.*..*..h..tf..* PAYMENT SUMMARY -*.*..h.***n**4********.n.*.*.*.*.x.:*.*.*.**. F•AYMENT DATE - RECEIPT4 - PAYMENT AMOUNT. .1.1/05/90 6974 .50.00 ' TOTr•'§I._'DUE= .00 TOTAI... PAID= . PERMIT1 TYPE. . - FEE AMOUNT AMOUNT PAID. AMOUNT OWING SEWER PERMIT 50,00 50.:00 .0 50.00 50.00 -- :00. PROCESSED - BY JOHN. LARSON PRINTED BY: JOHN LARSON SEWE:l; -,STUB AS -BUILT -INFORMATION IS AVAILABLE AT THE: COUNTY' UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPLICANT IS TO FIEL..I) LOCATE AND CONFIRM THE. ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION - TO LOCATE:: BURIE::D CABLES, GAS PIPING, WATER LINES, ECT. CALL. BEFORE YOU DIG (456-8000) - SEWER STUBS_ ARE TO BE: CHECKED PPTOR TO CONNECTION TO INSURE, THAT THEY—ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN • ' ********* CALL FOR INSPECTION PRIOR TO,COVER ***..*.****>EX ********* 24 HOUR NOTICE REQUIRED ********** ********* .. . 456-36104 - ********** • i -****3i *3i *****.h.*********** k*** THANK YOU**********4***3f****3e*3e***%if*******