1990, 06-06 Permit: 90001736 SewerSPOKANE COUNTY pEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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 underdtand 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.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 90001736 DATE= 06/06/90 PAGE= Oi
ISSUED PERMIT
********ii*******)E*iE*****)E*** PERMIT -INFORMATION ******************)E*******1E*
SITE STREET== 12815 E 4TH AVE_ F'ARCEL.1F== 22542-0722
ADDRESS= SPOKANE WA 99216
PERMIT USE== SEWER CONNECTION 8801
*** SEF NOTE ***
PLATO= 001840 PLAT NAME= OPP. TR. 1 --354
BLOCK= 183 LOT= ZONE=:: UNCI... D:CST4== F
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 550 R/ W=
OF )3L_DGS= .v DWELLINGS= i
C)IhJNER= AL.E31E:RS JACOBA PHONE=
STREET= 12815 I . 4TH AVE
ADDRESS= SPOKANE WA 992i6
CONTACT NAME= LEONARD -- H S S PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT== NA LEFT= NA RIGHT= NA REAR== NA
*)e**** ****1HE***fl*.** **.*.*.*•** SEWER PERMIT •**** Eu***aE****aE*********;E*****
CONTRACTOR= H n S ((INSTRUCTION
STREET= 11817 E: V'AI...I EYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEF AMOUNT
Y 10,00
i 40.00
*fl********aE*****************•** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT PAYMENT AMOUNT
06/06/90 3013 50.00
TOTAL DUE== .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PI''tINTE:I) BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAIL..AF:{I...E AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APF._ICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF .SEWER STAB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT..
CALL BEFORE YOU DIG (456--8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
******•*** CAi...l... FOR INSPECTION PRIOR TO COVER *****•*n•*•*•*
********* 24 HOUR NOTICE REQUIRED **********
**.******* 456--3604 *•*****..tt..h.*..*
******•*3e**************1E**)E****** THANK YOU *••>i•***•*..1E**********1E****•**•******3E**