1990, 08-28 Permit: 90004260 Sewer odsimmismommmommomMOW V. -
°
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, u authorize Spokane County to mooe u» 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 467Z?Iv-
OWNER OR AGENT 11/ DATE
?ROJECT NUMBER= 90004260 DATE= 08/28/9O PAGE= Oi »
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= 5812 E 15TH AVE PARCELO= 23534-0305
ADDRE%%= SPOKANE WA 99212
PERMIT U%E= SEWER CONNECTION FOR RE%IDENCE IN %LOANS ADDITION
*** SEE NOTE ***
PLATO= 002396 PLAT NAME= %LOAN ' ,':1 ADD
BLOCK= I LOT= DI%T4=
AREA= 0O000000 F/A= F WIDTH= 100 DEPTH= 136 R/W=
1 OF BLDG%= 4 DWELLIN�%=
N��F� -= L DAVID PHONE=
% �= �812 t i57A AVE
.
ADDRESS= SPOKANE WA 99212
CONTACT NAME= MUELLER JACKHAMMERPHONE NUMBER= 509 534 7143
BUILDING SETBACKS : FRGNT= NA LEFT= .NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= MUELLER JACKHAMMER SERVICE PHONE= 509 534 7143
STREET= 3628 E 32ND AVE
• ADDRESS= SPOKANE WA 99223
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y iO .00
SEWER CONNECTION � 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/28/90 5085 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
, --------------- ------------- ------------ -------------
SEWER PERMIT 50.00 50.00 .00
. ------------- ------------ -------------
50.00 50.00 .00
PROCE% ED BY : JOHN LARSON
PRINTED BY : JOHN LAR%ON
SEWER %TUB 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 ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING, WATER LIHE%, ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BECHECKED PRIOR TO CONNECTION TO 'INSURE
THEY •ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU ******************************* * •
•
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