1990, 03-28 Permit: 90001138 SewerT .4
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 provisii of any state or I law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF / �/ .(/ /' ir-�._ APPLICATION i 7 6763
OWNER OR AGENT l/r,F�`/ liGi�� DATE
PROJECT NUMBER=:: 90001136
DATE= -28/90 PAC:F== 01
ISSUED PERMIT
. .
Yt'R')k )kik;t;f;!�;4'1;I:;:;;I';S';I�;l;t;t';l';(';l;t"�: ;1';l';f PERMIT 'V I.L I .L IV F (]ii �'I!`iT.0 UI*I ***ir;E;f*iE s43E 9.)i•;E;E*;e *§?;f;fr;i;;%* * *;k
SITE STREET= 12503 E 4TH AVE PARCEL. ]:= 22542-0656
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION 0801
rk;ex SEE NOTE x x..x.
PLATO= 001840 PLAT NAME=:: OPP.TR. 1--354
BLOCK= LOT= ZONE= AGSCJf D:I:S:TM'-: E'
AREA= 00000000 F/A= F WIDTH= DEPTH=:: R/W=
OF BL.DGS== L DWELLINGS= i
OWNER=: CO SAN, MIK— PHONE= :509 924 2908
STREET= 12503 E 4TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= MIKE': CONAN PHONE:' i•JI.JNDE:R=
BUILDING SETBACKS: FRONT= NA L.E1=T:::: NA RIGHT::: NA REAR= NA
:,{...x.:,k.yi..*.M.:,{.i:.riri;iii#ik;i.;4;i;{;i.{{.:iti4..x...h..x..h..h. SEWER FIE I'<M1 T ;i***..*..h..*..)k..k..*..tt..)r.)f...k..)k..)i..tt..•..)i*;i;k it ik;t**v:w
(.:CONTRACTOR-- OWNER PHONE=
ITEM DESCRIPTION QUANI.ITY-t17UNT
PROCESSING rE:i:F Y 10.00
SEWER CONNECTION 1 40.00
;i•;f•*h*.u.;[.******3********* PAYMENT SUMMARY ****;(#;kii..*.;h;iik;k•*X*;F;i.;i;i..)E .fi..k.*.tt..h.**
PAYMENT DATE RECEIPT PAYMENT AMOUNT
03/28/90 1394 50.00
TOTAL DUE::: .00 TOTAL PAID::- 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING;
SE:WI:::R PERMIT 50.00 50.00 .00
50.00 50.00 .00
I`)CUSSED BY: JULIE SHATTO
PRINTED BY: JULIE SHA110
SEWER STUB AS—BUILT INFORMATION IS AVAIL_Aici._L. 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, FGT,
CALL BEFORE YOU DIG (456--8000)
SEWER STUBS ARE T(:1 BE CHECKED PRIOR TO CONNF:CT''IN Tl INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
ak.x.atX)';t:riwex( CALL. FOR INSPECTION PRIOR TO COVER Xxxxn;i..x.:,;:;k:'ti
;e;r;;4;E;k*** 24 HOUR NOTICE REQUIRED •e**x.e**;ex*
;k;i.; *****. 456--36104 x. u.. x..x....x.x..x..x..x.
*;k;k;e**i4)..)k 3r;k$ ;kik;k*) *;e;i'#ik**3e# * it** THANK YOU**h;r;r;k;i******ik*******nx'x'# dk ii.*;e.y. 3..;k•x