1990, 05-15 Permit App: 90002097 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
VV.1303BROADWAY-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 m 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
OWNER OR AGENT DATE
*********** APPLICATION
SITE %TRE�7~
• ADDR`
PERMIT USE = %EWER CONNECTIC-
*** SEE. NOTE ***
t„ -
PLAT0= 001382 PLAT NAME= KIMBERLY Si.
BLOCK= 3 LOT= i ZONE= JFk DI%T4= F. -
AREA=
AREA= OOOOOOOO F/A= F WIDTH= iOO DEPTH= iOO R/W=
0 OF BLDG%= � DWELLINGS= 1
OWNER- FRI%KE
STREET- 5i0 % PERRINE RD
ADDRESS= SPOKANE WA 992O�
PHONE=
CONTACT NAME= LEONARD - H& % • PHONE NUMBER= 5O9 926 8964
BUILDING %ETBACK%� FRONT= NA LEFT= NA RIGHT= NA REV-= NA-
***************************** %EWER PERMIT ******************************
..'OR= H & s CONSTRUCTION
VALLEYWAY AVE
SPOKANE WA 99206
ITEM DESCRIPTION
1-ROCEINt3 FEE
SEWER CONNECTION
TYPE
PHONE= 509 926 8964
QUANTITY FEF AMO||N!
----------
10,00
40,00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------ -------------
50.00 .00 50.00
----- ------------
50.00 .00 .O0 5000
SEWER %��^` �J-:.:. :: INFORMATION I% AVAILABLE AT : ,:� -.����—
UTILITIES �[-/,..�[:- (47-::,-3604�
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PR'.;::a TO ANY OTHER
EXCAVATION
BURIED CABLE%, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************