1990, 03-23 Permit: 90000846 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that 1 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 heroin 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=: 90000846 DATE== 03i'23/90 PAGE= 01
ISSUED PERMIT
#r)(3F***3{.3tt#E3F***343(•3e)E****3r3f3F3 *** PERMIT INFORMATION)e#a.h.#i.#(##i##E#i##&#i#ri)r)E##E###e ii )E##f#(
SITE STREET= 12108 E 4TH AVE PARCEL,== 21541-1223
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — 8801
*3r){ SEE NOTE 3e3e3e
PLATO== 0018.39 PLAT NAME= OPP.TR, 1--354
BLOCK= LOT= ZONE= AGEUIi3 DISTO= I:
AREA= 00000000 F/A= F WIDTH:::: DEPTH -1:= R/W=
x'
OF HLDGS== 'x' DWELLINGS= 1
OWNER= DE WIT..(, ROBERT PHONE=
STREET= REET== 1210(3 E 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME=: LEONARD -- H. & S PHONE NUMBER= 509 926 89.4
BUILDING SETBACKS. FRONT== NA LEFT= NA RIGHT=: NA REAR.. NA
#k3e)t.'.i.i{.#i.3E.}F.ii.#(..H.?4**#{•1F**#4 *}{..}r d{. ***#f *#r SEWER -'-.it * dr *iF * #4 *#t..li. ii..k..ri dr **#**#i K*K*#F *ir#*'.E *
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E: VALLE::YWAY AVE
ADDRESS= SPOKANE WA 99206
I= DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FE::F: Y 10.00
SEWER CONNECTION 1 40.00
,
)04******* ie#�:x:3i�#{•#{�3c#{.#i.3F 3F#i..p..u..yF.y4 #(. �k#{•){.3r.. 3t (-'AiM1"I E. .) I'Hn 41Rr SkK*****************
", ME T DATE RECEIPT. PAYMENT AMOUNT
03/23/90 1287 50.00
TOTAL DUE= .00 TOTAL.. FAIL': 12) . GO
PERMIT TYPE FEE AMOUNT
SEWER PERMIT 50.00
50.00
AMOUNT PAID AMOUNT OWING
50.00 .00
50.00 a00
PROCESSED BY JULIE SHATTO
PRINTED BY: JULIE SHAT_(.0
SEWER STUB .AS' BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456—:3604)
CONTRACTOR OR APPLICANT IS TO FI:E::I...I) LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB F'RIOi=. TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
(AI...L BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR 1"O CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER 'MAIN
3Gr{:******* CALL FOR INSPECTION PRIOR TO COVER 3{•3¢3k#(4'hX**
343(34*K**3('3(' 24 HOUR NOTICE REQUIRE3*1*)e*)4#)t3r.**
.k..H..i(..k•./F 34)4*.•}{. 456-3604 ***ik3F#f#4#41*4:
*343r.i4.1434h*3434h)34iiX.K34343434)4#34)4343434)43:34#343434 T H4NK YOU 343434if3*3*3*3e3F#f##e:ri•##:##i3e)*#*3,`3:)t**)!3{3F3F#3!3(