1989, 11-03 Permit: 89004077 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 tvcompile said permit wtrue and correct.m
addition,I have read and understand the INSPECTION REQUI REMENTS/NOTICE provisions included hereiand agree to complywxovamum/provisions of laws
and ordinances governing this type owork will be comlied with whether sm subsequent
inspection provals or Certificates of Occupanshall 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 nATs
PROJECT NUMBER= 89004077 DATE= 11 /03/89 PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12513 F 15TH AVE PARCEL4= 22543-1243
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT4= 001345 PLAT NAME= JORGEN% ADD
BLOCK= 2 LOT= 18 ZONE= AGSUB DI%T4= F
AREA= 00000000 F/A= F WIDTH= 96 DEPTH= 137 R/W=
� OF BLDG 4 DWELLINGS= i
OWNER= BURKHART, BOB PHONE= 509 92R 4404
STREET= 125i3 E 15TH AVE
ADDRESS= SPOKANE WA 992i6
CONTACT NAME= DWAYNE WILCOX PHONE NUMBER= 509 534 3369
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= WILCOX BROJ EXCAVATING PHONE= 509 534 3369
STREET= 4505 E 6TH AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE
FEE Y iO.00
SEWER CONNECTION i 40. 00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
ii /03/89 5453 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50 .00 .00
------------- ------------
50,00 50,00 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION J% 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 , WATER LINES, ECT ,
CALL BEFORE YOU DIG (456-8000)
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 flATE
PROJECT NUMBER= 89004((f I:7ATE:::: i i ,' ;; / 39 PAGE= 02
ISSUED PERMIT
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT 'THEY ARE CLEAR AND UNOBSTRUCTED TO THE. SEWER MAIN
•ar fM •* CAI...I... FOR INSPE=CTION PRIOR TO COVER **********
4* •h4•7cM* 24 HOUR NOTICE REQUIRED •ua**•xr:****
***** •*kik 456.•••3604 * ***)i•** • •
*•li** xa>x** kam:h***** • •xRx**a•tt*•x* THANK YOU *b•k****•***••***m:**•A••R•***•a:*a:*x**x•*•*•r.•*
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S P O K A N E . ::2:11 r 1s 1 Flute
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, DIRECTOR
JAMES L. MANSON, DIRECTOR
October 16, 1989
WILCOX BROS EXCAVATING
East 4505 6th Avenue
Spokane, Washington 99212
To whom it may concern:
our request for a sewer permit at East 12513 15th
Pursuant to y with construction.
Avenue we are issuing an authorization to proceed
ermit is $50. 00 and payment
Please be advised that the fee for the p 1989 .
must be received no later than October 26,
Failure to remit this amount on or before the specified date will
result in a double fee being assessed.
Thank you for your prompt attention.
sincerely, C',C--�,�-C.-
Julie A. Shatto
Permit Technician D r"l -
1
JAS:rmd ) Da..dtf
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WEST 1303 BROADWAY • SPO SH4703 GT 260- 0050 • (509)456-3675
FAX (509)