1990, 08-16 Permit: 90003652 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 t 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 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= 90003652 DATE= 08/i6/98 PAGE= Oi
ISSUED PERMIT
**************** PERMIT INFORMATION ****************************
SITE STREET= 12503 E 12TH AVE PARCEL4= 22543-9091
ADDRESS= SPOKANE WA 99216
PERMIT USE= %EWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 999999 PLAT NAME= RANGE
BLOCK== = ZONE= AGRI DI%T4=
AREA= OOOOOOOO �7 = F WIDTH= DEPTH= R/W=
4 OF B; = DWELLINf;�=
OWNER= CARNEGIE R D PHONE= 509 926 8985
%TREET= i25O3 E � 2TH AVE
ADDRESS= %POKANE WA 99216
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA
LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONT CTOR= & % CONSTRUCTION PHONE= 509 926 8964
. S1REET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
Y
PROCE%%ING FEE iO ^OO
SEWER CONNECTION i 40 .00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPPAYMENT AMOUNT
8O
08/16/90 4784 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 58.00 .08
------------- ------------
50.00 50.00 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE 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 AN; OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIG (456-8000)
%EWER %TUB% RE B [H TO CONNECTION TO JN�|/RF
THAT THEY A CLEAR AND UNOBSTRUCTED TO THE %EWFR MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU *********************************