1989, 10-24 Permit: 89004065 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent ile said permit is true and correct.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 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 nATs
PROJECT NUMBER= 890O4065 DATE= 1O/24/89 PAU-
I%%UED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12722 E %EMRO AVE PARCELO= 27542-1737
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
***-"SEL NOTE ***
PLATO= 001846 PLAT NAME= OPPORTUNITY TERRACE 4TH ADD
BLOCK= • 8 LOT= 3 ZONE= AG%UB DI%TO= F
AREA= 0O000800 F/A= F WIDTH= iOO DEPTH= 137 R/W=
4 OF BLDG%= 0 DWELLINGS= i
OWNER= NEPEAN, STEVE , PHONE= 509 928 4318
STREET= 12722 E %EMRO AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= D PANGBORN PHONE NUMBER= 509 325 9705
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= D PANGBORN EXCAVATING PHONE= 509 325 9705
STREET= 5704 N BIRCH PL
ADDRESS= SPOKANE WA 99205
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10 . 00
SEWER CONNECTION i 40.00
****�************************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/24/89 5i88 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------ ------ ------------ -----------
%EWER 50.O0 50 .00 .00
------------- ------------
50. 00 - 50.00 . 00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
. ^ .- LES, GAS PIPING' WATER LINE%, ECT ,
CALL BEFORE YOU DIG ( 456-8000)
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.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 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
PRO;PROjECT NUMBER= 09004065 10/24/09 PAGE= 2.
ISSUED PERMIT
SEWER STUBS ARE TO BE CHECKED.f !-'!tiIUI: ..i c cUNNt::.c.i• .I.toN TO INSURE
CLEAR
! i':,E i � ;i t... i t•:!... A;•.%i UNOBSTRUCTED TO THE SEWER MAIN
•ir a':1': **k;'i CALL } tINSPECTION h ' . J TO R K*** *****
•A:**tui*is*•Pr;u; 24 HOUR NOTICE REQUIRED •Fi*.jj.*•je;p;je;•;i•Nr*
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