1990, 08-17 Permit App: 90004011 Sewer SPOKANE COUNTY DEPARTME6T Ole BUILDING A D 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 m, agent to compile said permit/application is true
and correct,and authorize Spokane County to roceed with nmoossmu In addition, I have reaand uno*mm"^ the ".",=".."., . ^~~
ICE
/ itied ��ether�_'—�specified
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Ce ificates 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 con ormance with the provisions of any state or local
laws regulating construction.
. SIGNATURE OF APPLICATIO
OWNER OR AGENT DATE
)ATE= 08/17/90 PA�F= Oi
PROJECT NUMBER= 9�OO4Oii APPLICATION
** *************************** APPLICATION *********************************
SITE STREET= 12927 E 12TH AVE PARCEL4= 22543-0838
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — 8201
*** SEE NOTE ***
PLAT4= 802962 PLAT NAME= WOODWARD PARK ADD
= ZONE= AG%UB DI%TO= F
BLOCK= F WIDTH
AREA= 00000000 F/H= = DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= i
OWNER= KING PH[NE=
STREET= 12927 E 12TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD — H & % PH[NE NUMBER= 5O9 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= Ne REAR= NA
***************************** SEWER PERMIT ******************************
• CONTRACTOR= H & % CONSTRUCTION PHONE== 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
QUANTITY FEE AMOUNT
ITEM DESCRIPTION ____ __ _______
--------------�� OO
PROCESSING FEE Y 10 .00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------- ------------- ------------ -------------
—
SEWER PERMIT __ ____ 50,OO „00 5000
�__
50.00 .00 50.00
PROCE%%ED �` JULIE %HATTO
PRINTED BY : JULIE %HATTO
EWER STUB A%—BUILT INFORMATION J% AVAILABLE AT THE COUNTY
/ UTILITIE% 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, WAT :fR LINES , ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO C]NNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO C]VER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ********************************* .