1991, 06-18 Permit: 91002443 SewerSPOKANE COUNTY DEEART-LENT OF BUILDINGS
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, 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/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 regulatigg constructlon,pr 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= 91002443 ISSUED PERMIT DATE= 06/18/95 PAGE= 0i
****************************,PERMIT INFORMATION ****************************
SITE STREET= 12019 E 4TH AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - 8801.
*** SEE NOTE ***
k
PLATO= 001845 PLAT NAME= OPPORTUNITY- HEIGHTS ADD
BLOCK= 179 LOT= ZONE= AGSUB DIST4= F
AREA= 00000000 F/A= F WIDTH=_ DEPTH= R/W=
OF BLDGS= 1 r DWELLINGS= i WATER DIST =
OWNER= ADAMS PHONE=
STREET= 12019 E 4TH AVE
ADDRESS= SPOKANE WA 99206
PARCEL.:= 21541-4040
CONTACT NAME= LEE CAMPBELL,PHONE NUMBER= 509 448 1.818
BUILDING SETBACKS: FRONT= NA LEFT= NA RIHT= NA REAR= NA
***************************** SEWER PERMIT *********4********************
CONTRACTOR= CAMCO
STREET= 3002 E SINTO AVE
ADDRESS= SPOKANE WA 99202
ITEM DESCRIPTION
PHONE= 509 448 1818
QUANTITY FEE. AMOUNT
PROCESSING
Y 1 40.00
*****'************************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
t
06/18/91 3872 ` 50.00
TOTAL DUE= ..00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 400
50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
-SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTIL_I•TIES DEPARTMENT (456-3604)
CONTRACTOR OR APPL..ICANT 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 TQ ,+E.CHECKED PRIOR T6 CONNECTION TO INSURE
THAT THEY ARE`CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION.PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
•
SPECIAL CONDITION CHECKLIST
Project
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