1990, 03-27 Permit: 90001092 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/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 regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction. n
OWSIGNER O AG M€A //n n APPLICATION Aim A 27 JcJg7j
OWNER OR AGENT - t�1.CX QAA-- / DATE r/"C C• / / (/
PROJECT NUMBER= 90001 092
DATE== 03/27/90 PAGE= 01
ISSUED PERMIT
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SITE STREET= 1 2401 E 4TH AVE PARC:::L, _= 22542-1723
ADDRESS= SPOKANE WA 99216
PERMIT (JSE= SEWER CONNECTION (:3(301
##31 SEE NOTE 3*3**
PL.AT4:=:: 001 040 PLAT NAME= OPE', TR. 1 --3s4
BLOCK= LOT= ZONE= AGSLIB D.I:.STT:=
AREA== 00000000 E/A= F WIDTH= DEPTH==
r; OF BLDG'S= x: DWELLINGS= I
OWNER= FOX. CHARLES Y PHONE=:: 509 920 2249
STREET= 12401 E 4TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= CHARLES OR MERL_EEN FOX PHONE NUMBER== 509 920 2249
BUILDING SETBACKS. FRONT= NA LEFT= NA RIGHT= NA REAR== NA
3*#-x##)i*3i##ri3E####.*#x#.#.33).3..-x.*31x.1@ 5F:. iE:R PE.I: 411 3•####313##3t•3*3*9i3p#..k..3i.*:*.hi*#*3*# 3*3*3* 3*
CONTRACTOR=:: OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT.
PROCESSING FEE.. Y 10.00
SEWER CONNECTION 1 40.00
#3*#3•##3t•3131#.i4.M.#.i{.#.#..33F#-#3i3i#3(.31.31.#1(..3.3{. i* pAymE .
r nrtlL..NT' a(JMMAF?Y ik3•######3i..##dt##3E#.#..k.3t.3..3.3i.it.3i.3i•#•##
"AYMENT DATE: RECEIPT* PAYMENT AMOUNT
03/27/90 1342 50..00
TOTAL DUE::: .00 TOTAL PAID= 50.00
PERMIT TYPE FEF AMOUNT AMOUNT PAID AMOUNT 0l.4ING
SEWER PERMIT 50.00 50400
_,00 .00
R/W=
50400 50 00 .00
PROCESSED BY: JULIE. SHATTO
PRINTED BY JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE Al THE CC11NTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPL..I:CA ; IS TO 41 rIEEL..D LOC1')TE. AL+lI) 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 ( "000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
'HAT THEY AlriE CLEAR id!) UNOBSTRUCTED TO THE:: SEWER MAIN
;i.c.[b',)4Je3i..** CALL. FOR INSPECTION PRIOR TO COVER ##3i.#•#.#34## -x•
3i i####3i## 24 1-IO(JR NOTICE REQUIRED •3#3H*3tii3##3
3*H3•#..-x;i#3# 456-3604 ##3i#3f#**3#
3*####3*3*##)*#3*3*3i3*v*##3)i3*i*fiir:- 4313t 3r ::-tii # THANK YOU 3**431313*3F)P#*3f3i33P#3i##31)#3*Y#3i*#if 31#3*113i# 3*