1990, 09-17 Permit: 90004657 Sewer SPOKANE COUNTY DEPAR'o'MENTOF BUILDING AND SAFETY
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 u submittedu t to compilesaid permit/application is true
and correct, and authorize SCounty 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
PROJECT NUMBER= 90004657 PAGE=
�
**************************** PERMIT INFORMATION **************************** "
SITE STREET= 282 N %KIPWORTH RD PARCFL4= 16543-03ii
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — B87—^
*** SEE NOTE ***
PLATt= 00i852 PLAT NAME= OPPORTUNITY(TR. 1 —i42INC. 143-35
BLOCK= 129 LOT= ZONE= AG%UB DI%T4= F
AREA= 00000000 ESA= F WIDTH= DEPTH= R/W=
0 OF BLDG%= 2 DWE1 i
OWNER= KE%%LER CHUCK W PHONE=
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STREET= 202 N %" IPWORTH RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM NIEL%FN PHONE NUMBER= 509 924 6077
BUILDINCS, SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
********************** ***** SEWER PERMIT ******************************
CONTR CTOR= �J I CONSTRUCTION PHONE= 509 924 6O77
STREET= 10504 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION OUANTITY FEF AmOUNT
------------------------- -------- ----------
PROCE%%IN� FEE Y 18.00
SEWER CONNECTION i 40.00
****************************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAY,1!FNT AMOUNT
09/17/90 5528 50 .00
TOTAL DUE=•
DUE= . 00 TOTAL PAID= 50. 06
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ------------- i
SEWER PERMIT 56 . 00 50 . 0O .00
------------- ------------ ------------- '
50.00 50 . 00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8OOO)
SEWER STUBS RE TO BE CHECKEDTO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED T; THF SEWER MAIN
********* CALL FOR INSPECTION PRI;R TO [OVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
" • K YOU ***************«*****************