1989, 09-13 Permit App: 89003360 Sewer "" .:S.POKANE .C:OUNTY DEPARTMENT OF BUILDING AND SAF
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 comp ElleTs Yald41111.1111111111.1111111.11111.7permitis tirue andi Cr,OsroreiCiat.wins
. haveyead and understand the INSPECTiON pEouipsmENTs/NOTICE provisions included herein antirterttoi•eeeo.to.uc.nomceprins;emrmetalnpor.onvyissout„equen,
Inspection approvals or Certificates of Occupancy shall'nor be Construed to glve authorlity to vlolart1Dri 611
construction,or as a warranty of conformance with the provisions Of any state or laws regu a :conestructlon.
APPLICATION
SIGNATURE OF DATE
OWNER OR AGENT
_
PROJECT NUMBER= 89003360 DATE= 09/13/89 PAGE= Oi
APPLICATION
*** **************************** APPLICATION ******************************
SITE STREET= 12611 E 15TH AVE PARC = 22543-1234
ADDRESS= SPOKANE WA 99216
PERMIT USE= %EWER CONNECTION - 8801
*** SFE NOTE ***
PLATt= 001345 PLAT NAME= JORGEN% ADD
BLOCK= 2 LOT= 15 ZONE= AG%UB DI%TO=
AREA= 00000000 F/A= F WIDTH= iiO DEPTH= 136 R/W=
4 OF BLDG%= 4 DWELLINGS= i
OWNER= HUBBELL' CLIFFORD PHONE=
STREET= 12611 E 15TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= BILL - %IMP%ON SANITATION PHONE NUMBER= 509 926 4781
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
************ ********** ***** %EWER PERMIT ******************************
CONTRACTOR= %IMP%ON SANITATION RHONE= 509 926 4781
%TREET= 7812 E BALDWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 .00 50.00
---------_--- ------------
•
50.00 .00 50. 80
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
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 SEWER MAIN
• ********* CALL FOR INSPECTION PRIOR TO COVER ****** ***
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*********** ******************** THANK YOU **************** ****************
i
JOB ADDRESS: l ( ` e—. / 6 \
SUBDIVISION: (D- 14 3 / a34 LOT : BLOCK:
OWNER: C� C C� t( C L ipLaPHONE:
cAMS S:
-CONTRACTOR: t 66-
l',, 56Z-4-4( �O -
� - PHONE:
ADDRESS: i � ( ��� ! I �T 99(a-1Q_,
LICENSE #: 1 ( cue- 1--
INSPECTION DATE: Cr/l CJ 7
TYPE OF OCCUPANCY: I