1989, 10-16 Permit App: 89004077 Sewer “_
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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 agreeto n/ ith same.All provisions of laws
and ordinances governing this type owork will wiil be compliedlied with whether so m 000mmo,not./unoamm"ummmn/,,uonuvvfmmnonnnunuanvouuaequovt
inspection approvals or Certificates of Occun 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 nATs
PROJECT NUMB7R= 89004077 DATE= 10/16/89 PAGE= Oi
APPLICATION
********************************* APPLICATION ******************************
SITE STREET= 125i3 E 15TH AVE PARCFLO= 22543-i243
ADDRESS= SPOKANE WA 99216
PERMIT USE::::: SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 001345 PLAT NAME= JORGEN% ADD
BLOCK= 2 LOT= 18 ZONE= AGJUB DI%TO= F
AREA= OOOOOOOO F/A= F WIDTH= 96 DEPTH= 137 R/W=
� OF BLDG%= 0 DWELLINGS=
OWNER= BURKHART, BOB PHONE= 509 928 4404
STREET= 12513 E 15TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DWAYNE WILCOX PHONE NUMBER= 509 534 3369
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= WILCOX BRO% EXCAVATING PHONE= 509 534 3369
STREET= 4505 E 6TH AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
SEWER PERMIT 5().00 .00 50.00
------------- ------------ ------------
5O.00 .00 50.00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
AND OF SEWER STUB PRIOR TO ANY OTHER
7O LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER %T= AE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVEP **********
****** ** 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
** ***************************** THANK YOU ********** ********* ********* *
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a 'JOB ADDRESS: ! 3 5 )
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SUBDIVISION: a J`l / ( - LOT : BLOCK:
OWNER: gO L 18 U i(-'fl_C.k .k. PHONE: _
ADDRESS:
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CONTRACTOR: 01 C�O j/ De, \ E. <_(,1,0 it„ 2q PHONE: 531/ Te-D ; 7
ADDRESS: L 4-=�O to-7L L� r-7( D.-
LICENSE # : L-)._L_,LC'_0 e 1 -) `1 e z D-/l 4/9 0
T..,1`tyti-
INSPECTION DATE: It)/11C-1--t-,L
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TYPE OF OCCUPANCY: j/ (-s.__.