1990, 04-09 Permit: 90001252 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 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
• SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90001 252 DATE= 04/09/90 PAGE= 01
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE:: STREET= 5704 E 15TH AVE PARCEL4= 23534-•1001
ADDRESS= SPOKANE WA 99212
PERMIT USE= SEWER CONNECTION •••• SLOAN ' S ADDITION
*** SEE NOTE ***
PLATO= 002396 PLAT NAME=: SLOAN ' S ADD
BLOCK= ? LOT= 1 ZONE= SFR DIST:=
AREA= 00000000 F/A= F WIDTH= 103 DEPTH= 136 R/W=:
4 OF Bi_.DGS= 4 DWELLINGS-- 1
OWNER= L UNDSTROM TOM PHONE:= 509 534 2657
STREET= 5704 E 15TH AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= TOM L..UNDSTROM PHONE. NUMBER= 509 534 2657
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT *************•***********r:*****
• CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
-------- ----------
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/09/90 1574 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 0
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS--BUILT INFORMATION IS 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 ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATE:R LINES, ECT.
CALL BEFORE YOU DIG (456-9000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER ********•**
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
h
affn S P O k A N E o FoN-. C O U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: April 4, 1990
TO: TOM LUNDSTROM
East 5704 15th. Avenue
Spokane, Washington 99212
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application
DATE PROPERTY ADDRESS FEE
•
04/04/90 East 5704 15th. Avenue $ 50. 00
Amount due and payable $ 50. 00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to April 14, 1990. Failure to remit
this amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention. Ir
i (YD
4--1
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703