1989, 10-16 Permit App: 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 to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreetoovm comply uh same.All provisionsv,mwo
and ordinances governing this t ,work willoovom lied with whetherv cified herein or not.I understand that the issuance of this permit and any subsequent
inspection approvals or Certificates of Occupancshall 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= 89004065 DATE= 10/i6/89 PAGE= Oi
APPLICATION
********************************* APPLICATION ******************************
%ITE STREET= 12722 E %EMRO AVE
Al)DRE%%= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 880i
*** SEE NOTE ***
PLATO= 001846 PLAT NAME= OPPORTUNITY TERRACE 4TH ADD
BLOCK= 8 LOT= 3 ZONE= AG%UB DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= iOO DEPTH= 137 R/W=
� OF BLDG%= DWELLi
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
***************************** %EWER PERMIT ******************************
CONTRACTOR= D PANGBORN EXCAVATING PHONE= 509 325 9705
STREET= 5704 N BIRCH PL
ADDRESS= SPOKANE WA 99205
ITEM DESCRIPTION QUANl1lY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10. 00
%EWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------- ------------- ------------SEWER PERMIT PERMIT 50.00 .00 50.00
------------- ------------
50 .00 .00.00 50.00
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 IS TO FIELD 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 V�
THAT THEY ARE` CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
***** *** CALL FOR INSPECTION PRIOR TO COVER **********
::******** 24 HOUR NOTICE REQUIRED **********
3604 **********
******************************** THANK YOU ********* ********* *** ********
JOB ADDRESS:
•SUBDIVISION:
OWNER:
ADDRESS:
0=7
/ L-7-7.73(7) LOT : BLOCK:
PHONE:
CONTRACTOR: 0 6-Lifq PHONE: -3 D- 5- C n 6
A156RESS: _ i 6 6)(e p (
LICENSE # : D PA )Q p_6 QA
INSPECTION DATE: 1 L,L._t>.3
TYPE OF OCCUPANCY: