1990, 08-24 Permit: 90004188 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -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, 1 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 provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 900041A8
##3i3e3F3?3 3*3e.x.3e#dry36363e#3e3ede3 1*3*3*3*3 *3E PERMIT
DATE= 08/24:90
ISSUED RFRhI T
PAGE= 0i
INFORMATION 3i1****1i i*.ri.........)*1 §E) )f*i*tfie ie�f 3Ei* —**4(
SITE: STREET= 11923 E 4TH AVE PrARCELt=:: 21541-1011
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- 6801
3e3e3e SEE NOTE *3i3e
PLATO= 001E339 PLAT NAME= oP1p', TR, 1-354
BLOCK= LOT= "ZONE= AGSUr DISTO = F-_
AREA= F/A= F WIDTH== 100 DEPTH=: 200 R/W=:
4 OF BLDGS= «: DWELLINGS= 1
OWNER= COOK, KEVIN PHONE= 509 926 2326
STREET=: 1192:.3 E 4TH AVE
ADDRESS- SPOKANE WA 99206
CONTACT NAME= KEVIN COOK PHONE NUMBER=: E509 926 23261
BUILDING SETBACKS. FRONT= NA LEFT= NA RIGHT= NA REAR- NA
3r3E3i3eri..tt3e1a**3*3i'3i*3t3e.u..tt..u.3<..u.3f.***3i.:i•.It.1i. SEWER PERMIT .k..>i.3t.'*.:a.•3F3{•343k3iifik#'h3F3f3i.li.§{.:lih:.u..ii.3i ii' 3i 3i 3i 3: 3i
CONTRACTOR= OWNER PHONE==
ITEM DESCRIPTION QUANTITY FEF AMOUNT
PROCESSING FEE Y i0.00°
SEWER CONNECTION i 40.00
3e1ti43fx•.x3e3e3e 3 3*3**343i.3(..i{3i..H..H.3i•3Fk**3i3i*30.......3* PAYMENT SUMMARY * **3F*3{*3 ****4(30* i****3*3E3 4(3i1**3i*
PAYMENT DATE RECEIPT:" PAYMENT AMOUNT
08/24/90 4990 50,00
TOTAL... DUE= .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. WENDEI..., GLORIA
PRINTED) BY. WE:NDEL_, GLORIA
ST,ER R STUB AS RI_iI' 'i' ::ra` rR % "'1C' °'S` AVAILABLE Al THF COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT iS TO FI:F:I) I._GICATE:: AND CONFIRM THF
ELEVATION AND POSITION OF SEWER' "111B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE: BURIED CABLES4 GAS PIPING, WATER (INES, FCT.
CALL BEFORE YOU DIG (4`o-- 000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOr'flTRUCTEi1 TO THE SEwER MAIN
x*yn x#g4* CALL_ FOR INSPECTION PRIOR TO COVER .14..14..3i:31IE3l•3l'3F3f .lt•
#3t3Fd di1. '1HP# 24 HOUR NOTICE REQUIRED %9*n**1*3B**e
di'3i'3exk3r3e** 456-3604
3e 3lx' x' fe 3e 3e 3e 3lx'
3l'3l'3rR''3l'3i'3t''ll"1l'3t"1....A'3l'3I'3E3E3k31.3E34.II**)(... .'*34x.3&* THANK Y 0IJ 3*****1**3k3R3k'x3F'P:3*313e3f3kx*3F3F3e3E3i*R3tx-3r3f14)