1989, 10-03 Permit: 89003656 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(S09) 456'3675
I certify that I have examined this permit and state thatthe information cont / d in it and submittedo t to compileto 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 nATE
PROJECT NUMBER= 89003656 DATE= 10/03/89 PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13212 E 22ND AVE PARCEL4= 27541 -2328
ADDRESS= SPOKANE WA 99216
PERMIT USE : SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT4= 001846 PLAT NAME= OPPORTUNITY TERRACE 4TH ADD
BLOCK= 3 LOT= 5 ZONE= SFR DI%T4= F
AREA= F/A= F WIDTH= 100 DEPTH= 140 R/W= 50
4 OF BLDG%= 4 DWELLINGS=
OWNER= FORBE%, DONALD B PHONE= 509 924 i059
STREET= 13212 E 22ND AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 0964
STREET= 1i817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/03/89 4632 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
------------- ------------ -------------
5O.00 50.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : JULIE SHATTO
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
EXC 'JON
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 f1ATE
PROJECT NUMBER= 89003656 DATE= 10/03/89 PAGE= (7
ISSUED PERMIT
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWEF. MAIN
riri* •*;e•3t* CALL FOR INSPECTION PRIOR TO COVER E"R **#*7r *iia•r•
tt• •'r.• *•u.•*a••x• 24 HOUR NOTICE REQUIRED •** •****3i•*
k**ii a•**ter ii• 456-3604 P•is•r*iE ii•i$*:r;.}f.•:
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