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)