1990, 08-27 Permit: 90004225 Sewer 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 additionI have reaand 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 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 DATE
PROJECT NUMBER= 90004225 i)AT—� OR�?7/�O PA�F= Oi
P� *kMIT
*********************** **** PERMIT INFORMATION ****************************
SITE STREET- 12422 E 12TH AVE PARCFL4= 22543-2387
ADDRESS= %POKANE WA 99206
PERMIT USE- SEWER CONNECTION - 8 :101
*** SEE NOTE ***
PLAT4= 001840 PLAT NAME= OPP.TR 1 -354
BLOCK= 215 LOT= ZONE= MF% DI%T4= F �
F/A= A
0 OF BLDG%= i 6 DWELLINGS= i
OWNER= ROLLS, CLAY PHONE= 509 226 0330
%TREET= i2422 E i2TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= CLAY ROLL% PHONE NUMBER= 509 226 0338
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA PEAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= BEAR% BACKHOE PHONE= 509 926 9972
%TREET= ii2i2 E 61H
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---------- |
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******* *********************** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
0 /27/90 5029 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
� --------------- ------------- ------------SEWER PERMIT PERMIT ^
5O �O 5O OO OO^ ^
------------- ------------ ------------- '
50.00 5O OO ^OO^ ^
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
}
%EWFR STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UT1[ITIE% DEPARTMENT (456 36O4>
-
~ . ^ ^ . ^^~ DEPARTMENT- (456�-- _- - � .
CONTRACTOR OR APPLICANT I% TO FIELD iOCATF AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLESGAS PIPINGWATER LINE%, FCT .
• CALL BEFORE YOU DIG (45�-8OOO) '
SEWER ETUDE ARE TO BE CHECKED _PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWER MAIN
********* •CALL FOR IN%PECTION PRIOR- TO COVER **********
********* 24 HOUR NOTICE REQUIRED 3*3*
********* 456-36 O4 ` **********
******************************** THANK YOU ***** ********************** ***