1990, 06-06 Permit: 90001607 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
. W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. 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/application 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 DATE
PROJECT NUMBER- 900016(2;, I)A-(.= 04/o6/90- Po
ISSUED 7i PERh1:l'T'
I:r=:: 01
,
3': di�x�xdi�di�3i�df 3i�dr)4)f�)t�)':—)i�9r 3i�?��)e dr �)E �}E �ri�9F#iF �k�ri L�... ^:11. .L ..l 'C! 1- ...Ir 3i.db*-1e * dr *.)e* * de:.)P * *ie*9e *je )i. kq{. :ni * j; *
SITE STREET= 12901 E E Lf1,SS'EY AVE
ADDRESS= SPOKANE hiA 99216
PERMIT- USE=:: SEWER CONNECTION -- 0801
*** SEE NOTE *._R..g.
PARCEL.':_ 27542-141i
PI...ATt= 001344 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 3 (Jri._':::: 11 ZONE= AGS!UB f'
D.T.ST_:A:==
AREA= 00000 )00 F/A=: F WIDTH= 136 DEPTH= Ot5 F't!W.
;I OF HL DGS==. 4: DWELLINGS= 1
OWNER= WOMFCH, JO ANN PHONE=:: 000 000 0509
STREET= 12901 E )ti_ OS.SE.Y AVE
(IIDIiR1ii:SS'== SPOKANE kin 99216
CONTACT NAME= LEONARD) - Ii F- S PHONE NUMBER= 509 926 3964
BUILDING SETBACKS: FRONT= NA LEFT:::: NA RIGHT=: NA REAR= NA
x*******bid[..ri.*df..k.:ri..ii.****x*T)xh:)ki{Ik* SI:WI:.R PERMIT:n:p..d{.3@D).i.......p'.)@.io•)i'oii8ii .k..li..h..H..)@x)i4?nttririx
CONTRACTOR= H ;.g CONSTRUCTION
STREET= 11847 F:: t?Ai..I...Iii:YL.If=iY ti'++F::
ADDRESS== SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
,SEWER CONNECTION
QI,IANT 7 TY
PHONi_= 509 926 8964
***x*)i'jl..)(..R'#x*xxx:''14xh:..it..h..Y')l)l*x'x'x#xxx PAYMENT gum rIAF;•Y ;,;A
PAYMENT DAT E.
06/06/90
TOTAL DU!=
PERMIT TYPE:
SEWER PERMIT
FEE
RI-ECE T.PT4
3006
.00 TOTAL PAID=
..AMOUNT
5O, 00
S0.00
FEE AMOUNT
10,00
410.00
PAYMENT AMOUNT
50.00
50,00
AMOUNT PAID AMOUN1 OWING
50.00 .00
50.00 ,00
PROICE:_,GSE.D BY: JULIE SHATTO
PRINTED 'BY: .JULIE SHATTO
SEWER STUB AS -I::1.11:1..'.. INFORMATION iSr' A'VAJ:$_A81_F:: ... -i.'IF:: COUNTY
UTILITIEE DEPARTMENT (456--7.604)
CONTRACTOR OR APPLICANT IS TO f'IELO:
T) I_:ATE AND CONFIRM THE
.,._. , ..
ELEVATION AND E'O;;:r. POSITION OF SEWER .> , t,T'-. 1-t,,.nR TA ANY OTHER
.EXCAVATION
TO LOCATE:: BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BE EARS_ YOU DIG (456-0000)
SEWER STUBS ,' ARE: TO BE CHECKED PRIOR TO CONNECTION TO 1:N.�I11'
THAT .11'1i -Y, ARE CLEAR AND UNOriSS1-RUCT-1-, TO THE SEWER MAIN
x3{1{'P: 'Ni )(.:)i..µ..µ. 1.:1-11.1. FOR INSPECTION I_rTInN FF. ? It.,f1Pr
x*pa;,tti*x
6#Eii** '4 HOUR NOTICE RJttED
dE****9E:ie Pii{ri
)i..*:*Yi,f..ii)Ex' 456--3604 Ai .h..k..L:**x'*3@34
)fx)i•d{•)i) )ew)ix:x:)f******:n;:n;3*x*3E 3ex)e*9E)**3: ' .. ..... ....
THANK YAH ujp.tc ji.jtx..k.x.){..g.x..p:.k �ii�9i �)(di�:',;,.x..!r�ii 9E je dr �n: oau :µ�3