1990, 06-22 Permit: 90002850 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 B -AVENUE
SPOKANE, WAHINGTON 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 herei d 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 understan e issuance of this pe t ' ection a royals or Certificates of Occupancy shall not be construed to
give authority to violate or c the pro isions of an or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
OWNER OR AGENT
�wamnu�u"noo"mm
SIGNATURE OF
PLATO=
BLOCK=
ARF�=
OF
3735 % ROBIE %T
%PO...NE WA 99206
SEWER CONNECTION
TE ***
004369
APPLICATION �]J'°
DATE6��o+ L�
l-jFUATTSN
PLAT NAME= MIDILOME 5TH ADD
LOT= 21 ZONE= %FR
F/A= WIDTH=
O DWELLINGS= i
OXENDAHL CONSTRUCTION
POB 14794
SPOKANE WA 99214
.CONTACT NAME= STAN OXENDAHL
DI%TO=
FPTH=
PHONE= 509 924 6961
nG&F 509 924 6961
BUILDING SETBACKS: FRONT= NA RIGHT= NA REAR= NA
*************************** SEWER
CONTRACTOR= STANLEY OXENDAHL
%TREET= PO BOX 14394
ADDRESS= SPOKANE WA 992i4
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
*******************************
PAYMENT DATE
O6/22/9O
TOTAL DUE=
PERMIT TvPE
EEWER PERMIT
PERMIT
[
PERMIT
PHONE= 509 924 6961
QUANTITY
--------
PAYMENT SUMMARY
RECEIPTO
.00 TOTAL PAID=
AMOUNT PAID
-----------
50.00
-----------
• 50.00
FEE AMOUNT
------------
50.00
------------
5O.00
BY: JOHN LAR%ON
BY� JQHN
%EWE�
UTTl'T
FEE AMOUNl
10,00
40,00
PAYMENT AMOUNT
50,00
AMOUNT OWING
------------
.00
------------
.00
AR%ON
A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
DFP~^-,�N� (456-36O4)
TO LOCATE BURIED CABLE% GAS PIPING
CALL BEFORE YOU DI� (451-8000)
SEWER STUBS ARE
THAT THEY ARE C
********* 7ALL
********* 24
*********
AND CONFIRM THE
TO ANY OTHER
, WATER LINES, ECT.
PRIOR TO
�TED TO
TO (
RED
ON TO INSURE
_WER MAIN
**********
**********
**********
� �3U *********************************