1989, 08-17 Permit: 89002615 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 h / u agree to comply withoumum/provisionsm/u*o
and ordinances governing this tyof work willowvvm lied with whethern m d herein or not.I understand that the issuance of this permit and any subsequen
inspection approvals or Certificates of Occupancshall not be constrd to give authoritytv./v/atvv,vonco/monm,/x/onvmunvomuon,/vuu//mwmmu/atmn
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= 89002615 DATE= 08/i7/89 PAGE=' Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11921 E 3RD AVE PARCELt= 21541 -1032
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATt= 001852 PLAT NAME= OPPORTUNITY(TR. i -142INC. 143-35
BLOCK= 179 LOT= ZONE= AG%UB DI%T4= F
AREA= OOOOOOOO F/A= F WIDTH= 180 DEPTH= 100 R/W=
1 OF BLDGS= 0 DWELLINGS= i
OWNER= %UNDBERG, JOYCE PHONE=
STREET= 11921 E 3RD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= CAROL PHONE NUMBER= 509 928 7710
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7710
STREET= 1112 N MAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTIT' AMOUNT
-------------------------
--------
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/17/89 3570 50. 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50.00 50. 00 5O. 0O . 00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
! !TTLITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING, WATER LINES, 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 I")ATE
PROJECT NUMBER= 89002615 DATE= 08/17/89 PAGE= 02
ISSUED F:'E:RMI..}
SI:t4ER STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED LIi:::TEI) ..E.k_ THE SEWER MAIN
3t•:k 3 3i•3!:n•3[• 3: CALL FOR I• INSPECTION PRIOR 7•(.J COVER 'rr*3*3*3i•i) p:.)*3.:
*****KK** 24 HOUR
C ( NCI( E REQUIRED 3t..Y:h:3t..*.p:b:.3!•*)*
3*•h:3i•3f..j,,•)i•..3r•h: 456-3604 h:3(.)!:.)k 3!:/t:•h:.k 3i 3f
):3t•3t•*h:.•3..*•iii H:*hi 3(...:....*a:3`:3t'k•ri 3t 3(3*3f•3f 3i•3.)I THANK
HAi'.JK. .,'o L} . 3*3f...)i•3k.3f•N:•3i 3i.**......)t*N• p:*...*.)f.k.3f. ,.....k.3i:.),.*.),..