1990, 03-27 Permit App: 90001099 Sewer ^,.
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1300BROADWAY 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 Sx County to proceed with processing. In addition, I have read o understandthm /wopsormm 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= 90001099 • DATE= 03/27/90 PAGE= 01
APPLICATION
*********** ' - �*************** APPLICATION *********************************
SITE STREET= 214 N %UNDERLAND RD PARCEL4= 17543-1012
ADDRESS= SPOKANE WA 99206
PERMITUSE= SEWER CONNECTIONS
*** SEE NOTE ***
PLATO= 00i835 PLAT NAME= OPP.TR. 1 -354
BLOCK= i37 LOT= ZONE= AG%UB Dir%T�=
AREA= 00000800 F/A= F WID��� - - - ' ��
41, OF BLDG%= 41: DWELLING%= i
OWNER= FIRST INTERSTATE BANK PHONE= 509 455 4735
STREET= 514 J WASHINGTON %T
ADDRESS= SPOKANE WA 99201
CONTACT PHONE NUMBER= 509 244 9607
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= V ETZKE EXCAVATING PHONE= 509 244 9607
STREET= 2011 % CRAIG RD
ADDRE% ` MEDICAL LAKE WA 99022
ITEM DESCRIPTION FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEEY iO.00
SEWER CONNECTION 1 40.O0
PERMIT 1Y12'E FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 .00 50 .00
------------- ------------
50,00 .00.00 50 .00
PROCE%%EDBY : STEVE HOLYK
.''�- - . STEVE HOLyK
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION •
T. LOCATE BURIED CABLES , 'GAS PIPINGWATER
CA�^ BEFORE YOU DI� (45"-8OOO )
EEWER ETUDE ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOQ TO COVER **********
********* 24 HOUR NOTICE* « * * REQUIRED **********
�
** * * * 456-36O`
******************************** THANK YO; *********************************