1990, 02-02 Permit: 90000420 Sewer SPOKANE COUNTY DEPAkkTMENT OF BUILDING AND SAFETY
W. 130313ROADWAY 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 provisi ns of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constr' ion. l
SIGNATURE OF 1 ° APPLICATION C� IIll
OWNER OR AGENT • ( h DATE
PROJECT NUMBER= 90000420 DATE= 02/02/90 PAGE== Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 209 N SUNDERLAND RD PARCEL4= 17543-1016
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- A87--1
*** SEE NOTE ***
PLATO= 004835 PLAT NAME= OPP.TR. 1 -354
BLOCK= 137 LOT= ZONE= AGSUB DIST4= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= DWELLINGS=
OWNER= BALDWIN, DAVID & D LINETTE PHONE= 509 922 2875
STREET= 209 N SUNDERLAND RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DAVID/D LINETTE BALDWIN PHONE NUMBER= 509 922 2875
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
• CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y______ i 0.00
SEWER CONNECTION 4 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RE.CE.I.PT4 PAYMENT AMOUNT
02/02/90 544 50..00
TOTAL DUDE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
-------------
50.00 50.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIEI...D LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE: BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
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 *********************************
JOB ADDRESS: n . l)wV1 d r /Gt rd (Id S� 99t,,)-( 6
SUBDIVISION: LOT : BLOCK:
OWNER:-b0,l�I[ W �L \�Q9 td� �Y��fJ�ll c� �M PHONE: "1� A - a rS
ADDRESS: V l , S 1kN1 aQ 1U Inc]
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: k Yl c L Y'e S 1 rl.P.r\C& ) _