1989, 10-24 Permit App: 89004270 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 u understandm /wopsor/ownsoumsmswTu/wor/os provisions included hereu agreeto comply withou e.All provisions 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 nATs
PROJECT NUMBER= 89004270 DATE= 10/24/89 PAGE= Oi
********************************* APPLICATION ******************************
SITE STREET= 12610 E .15TH AVE PARCELO= 22543-i402
ADDRESS= SPOKANE WA 992.16
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT4= 001345 PLAT NAME= JORGEN% ADD
BLOCK= i LOT= 2 ZONE= AG%UB DIST-4=
AREA= O�C�� �� �� �- ���TH= DEPTH= R/W=
4 OF BLDG%= 4 DWELLINGS=
OWNER= COLEN%O, DON PHONE= 509 922 4014
STREET= 12610 E 15TH AVE
ADDRESS= SPOKANE WA 99216
� ^-^ .iHP%ON SANITATION PHONE NUMBER= 509 926 4781
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CC�T��CTOR=
SIMPSON SANITATION PHONE= 5O9 926 4781
STREET= 7812 E BALDWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%IN6 FEE Y iO.00
%EWER CONNECTION i 4O^OO
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ---------- - --
,
--------- -, SEWER PERMIT 50.00 .00 50.00
------------- ------------ -------------
50.00 .00 50.08
PROCESSED BY : JULIE %HATTO
P�INTED BY JULIE %HATTO
A%BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT I% 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)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWEVAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456 36O4 **********-
**** *************************** THANK YOU *********************************
JOB ADDRESS: / Cry/0 , 13 / /
SUBDIVISION: <,J6.) ,, f"iv LOT : D1 dDI__ BLOCK:
OWNER: ,OL- E k/ S C DD) / PHONE: 9,22_ li///`f
ADDRESS:
CONTRACTOR: 2 , //X:/ ,=t; 5e, A r J !--f PHONE: 2$7 /7;C'/
ADDRESS: s+ 2 /4. rZC( L. It'/A/ '75' f2 I ' .
LICENSE # : 5 Irfrtp 'e.a S 9,/ / Z-G....`
INSPECTION DATE:
TYPE OF OCCUPANCY: V- .S