1990, 05-01 Permit App: 90001799 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/oomfymnt/havooxommoom/opmmmonv/.vuoon.omtomatmomm,muoonvuntamoomuanuauumntoduvmoonnvagennovomv/leovmpermit/application is true
and correct, and authorize Spokane County to roceed with processingIn addition/have read and understand the INSPECTION REQUIREMENTS/NOTICE
specified
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
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= 90001799
DATE= 05/01/90 PAGE= 01
APPLICATION
***************************** APPLICATION *********************************
%ITE %TREET= 3732 % ROBIE %T PARCEL4= 33541-9004
ADDREES= %POKANE WA 99206
PERMIT "%E= %EWER CONNECTION - TP13 (MIDILOME %EWER%)
*** %EF NOTE ***
004369 PLAT NAME= MIDILOME 5TH ADD
i LOT= 12 ZONE= %FR DI%T4=
F/A= F WIDTH= DEPTH=
4 DWELLING%= i
R/41= 5O
• OWNER= OXENDAHL CON%TRUCTION PHONE= 509 924 6961
STREET= PO BOX 14394
• ADDRESS- -'OKANE WA 99214
CONTACT NAME= STAN. OXENDAHL PHONE NUMBER= 509 924 6961
--.^ -'`.- ` -
:,::********************** %EWER
CONTRACTOR= STANLEY OXENDAHL
STREET= P O BOX 14394
ADDREJ%= %POKANE WA 99214
PERMIT ******************************
PHONE= 509 924 6961
ITEM DESCRIPTION. QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------
50.00 ,00 .00 50.00
----------- ------------
50,00 ,00 .O0 50.00
PERMIT TYPE
EEWER PERMIT
PERMIT
PROCE%%ED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER %TUB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM
ELEVATION AND POSITION OF SEWER %T].!ANY
EXCAVATION
TO LOCATE BURIED CABLE% GAS | PIPING' WATER LINE%' ECT
^
CALL BEFORE YOU DI[ (456 8000)
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%!|RF
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************