Loading...
1989, 12-12 Permit: 89004643 SewerSPOKANE COUNTY DEBAFIT4AENT OF BUILDING AND SAFETY w. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 / certify that |have examlned thie permit and state that the ntormtIon cantained in It and submitted bpmao,myagent tocompile said permit |*tmoand correct. m addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions Included herein and agreeto agreetocomplywlth same. All provisions v,|mwa 'oouordinances governing this type typeof work will be cornplled wlth whether specified hersin or not. 1 understand that the Issuance otthls permltandany subsequent lnspectlon epprovals Or CertIticates 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 OR AGENT OATE PROJECT NUMBER= 89004643 DATE= 12/17/q9 RAGE= 0i ISSUED PFRMTT **************************** PERMIT INFORMATION **************************** SITE STREET= 12489 F 4TH AVE PARCELO= 22542-8559 ADDRESS= SPOKANE WA 99216 PERMIT USE= SEWER CONNECTION - 8881 *** SEE NOTE *** PLATO= 801848 PLAT NAME= OPP^TR^ i-354 BLOCKLOT= 7ONE= AG%UR VI%TO- F AREA 00000000 F/A= F WIDTH- DEPTH= R/W= A OF BLDG%= Dm,cLING%= i OWNER= PETERSON, JERENE STREET= 12409 E 4TH AVE ADDRESS= SPOKANE WA 99216 PHONE= CONTACT NAME= LEONARD ~ H & % PHONE NUMBER= 589 926 8964 BUILDING SETBACKS. FRONT= NA LEFT= NA RIGHT= NA REAR= NA ***************************** %FWFR PERMIT ****************************** CONTRACTORH & % CONSTRUCTION STREET= ii817 F VALLEYWAY AVF ADDRESS= SPOKANE WA 99206 ITEM DESCRIPTION PROCESSING FEE SEWER CONNECTION PHONE= 589 926 8964 QUANTITY FEE 0 Y iO^88 i 40.00 **************a**************** PAYMENT JUMMARY **************************** PAYMENT DATE RECEIPTO PAYMENT AMOUNT �2/12/09 6292 50.00 � --^..---''-- TOTAL DUE= ^00 TOTAL PAID= 58'88 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 58^00 58^88 ^88 58^88 PROCESSED BY; JULIE SHATTO PRINTED BY: JULIE %HATTO 58^88 ^88 SEWER STUB AS -BUILT INFORMATION I% AVATiARiF AT THE CDUNTY UTILITIES DEPARTMENT (456-3684) CONTRACTOR OR APP| ICANT 7J TG FIELD ( 0CATF AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUD PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLES, GAS PIPING, WATER | TNF%/ FCT. ii:RORE YOU DIG (456-R888)