1991, 10-02 Permit: 91003287 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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
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 compiled with whether specif led
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certif !cotes 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 ORAGENT DATE
PROJECT NUMBER= 91003287 ISSUED PERMIT DATE= 18/82/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12402 E 4TH AVE PARCELO= 22542-1723
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 881848 PLAT NAME= OPP^TR^ 1-354
BLOCK= LOT= ZONE= AGSUB
AREA= 88808888 F/A= F WIDTH=
0 OF BLDG%= 1 0 DWELLINGS= i WATER DIST
DI%TO=
DEPTH= R/W=
OWNER= COX BOB PHONE=
STREET= i2462 E 4TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD ^ H & S PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= H S CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99286
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
--~----~ ^---------
Y 18.80
i 48^88
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/02/91 7143 50.00
-------'``-`
TOTAL DUE= ^00 TOTAL PAID= 58^88
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ----^^^~--^-- --~ ----
SEWER PERMIT PERMIT 58^88 58^88 ^00
~^~-^-~------ -----
50,00 50.00 58^88 ^88
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT 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 RE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR HD UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************