1989, 08-14 Permit: 89002810 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 and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.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 and any subsequent
inspection approvals or Certificates of Occupancy shall not b= ons rued to give authority to violate or cancel the provisions of any state or local law regulating
construction,or as a warranty of c r an a with the pro sions .f any state or • al laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT e C(Cssss f)ATE / �f
PROJECT NUMBER= 89002810 DATE= 08/14/89 F:,ALGE._: 01
ISSUED PERMIT
**************************** PERMIT INFORMATION *******x***********x*******
SITE STREET= 12507 E 15TH AVE PARCEL.:--: 22543—
ADDRESS= SPOKANE WA 9921 6
PERMIT USE= SEWER CONNECTION -- 8801
•*** SEE NOTE **
PLATO= 001345 PLAT NAME=:: JORGENS ADD
BLOCK== 2 LOT= 19 ZONE= AGSL.IB DIST F:•
AREA= 00000000 F/A-: F WIDTH= 70 DE::PTH:::: 137 R/W=::
: OF BLDGS::: „: DWELLINGS=
OWNER= RUSSELL, ROBERT 0 PHONE== 509 927 0878
STREET== 12507 E 1 5TH AVE
ADDRESS= SPOKANE:: WA 99216
6
CONTACT NAME= ROBERT RUSSELL. PHONE NUMBER= 509 927 0878
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT=- NA REAR= NA
* •*x •h.r x x.•..-*.•x tt•.•u.•.•tt x•x***x• •*• SEWER PERMIT •x•*at•x at• -*x• •**•x•x u•b:-•x n x•*•x•*h*x:>:r-x•tt r:
CONTRACTOR:::: OWNER PHONE-
ITEM DESCRIPTION QUANTITY FEE. AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.0
rr•*****x*it*x•*xr*X.•...•xb:•*tt***x**X* PAYMENT SUMMARY x•tt•***tt*m:*3** •*...*...•xtt•p;•ub:•x•yr. •:utt•
PAYMENT DATE RECEIPTt PAYMENT AMOUNT
08/1 4/89 3.496 50.00
TOTAL DIJE:- .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT .50.00 50.00 .00
50.00 70.00 : 0}0
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SE:WE:R 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 I...C:IC::EATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL LEFORIYOU II G (456-8000)
SEWER F~ `'TUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
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 and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.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 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 I1ATE
PROJECT NUMBER= 89002810 DATE= 08/14/89 PAGE=: 02
ISSUED PERMIT
xxxxxxxxx CALL FOR INSPECTION PRIOR TO COVER ** **xx*ri:
xx•xxxxxxx 24 HOUR NOTICE REQUIRED xxxxxxxxxx
xxxxxxxxx 456-3604 xxxxxxxxxx
xxxxxx******xxxxxx*********** xx THANK YOU xxxxxxxxxxx*xxxxxxxxxxx****xxxx