1990, 09-27 Permit: 90004821 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS , -
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 compiled 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF , APPLICATION
OWNER OR AGENT DATE '
PROJECT NUMBER=:: 90004821... DATE= 09/27/90 PAGE=:: Of
. ISSUED PERMIT
')t3t)4al")f1t"Pi***-)e-)&**.-x-3 '-X**.*.k :R"R')t"H'*Bt'B4' PERMIT INFORMATION 3i—hi •)F •1t'et-i* —x--* eiE3B.i(*-x-.*3i**h}iii:if*9i*di
SITE ': TRIi::Ei:T= 12908 8 E:: DL..t:1.SSE::''r AVE - PARC:Ei:L."=:: 27542-1630
ADDRESS=: SPOKANE WA 992.16 .
PERMIT USE= SE_:WER:CONNECTION .....901
*** SEE NOTE 3i#ii ..
PLATO= 001844_ - PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 5 LOT= 1. ZONE=:: AGSUB DI:STO=
AREA= 000000007 f /A=: F WIDTH= 1» F TI -1-
OF BL_DGS= 1 •' '' DWELLINGS= f
OWNER= GOSSETT . -E -J) -; L.. -PHONE=
. STREET= 12608.E :BLOSSEY AVE
ADDRESS= SPOKANE WA 99216 -
CONTACT NAME= LEONARD ----H Lti S - PHONE NUMBER= -509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT=. NA REAR= NA • -
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CONTRACTOR= -H .- S : CONSTRUCT TON .
STREET= 11017 Li: ALLEYWAY A
ADDRESS= SPOKANE_ WA •99266
f.
PHONE= 509 926.8964'..
ITEM DESCRIP:rI0N .. QUANU:T'Y FEE AMOUNT
PROCESSING f'E:E:: 10.00
'SEWER CONNECTION - 1 -40.00
_ • .
3i)eX-*..k•:ziedi:*k-*-), i').k.****** 3e.3.k..k..*:k 3•i 3434 PAYMENT SUMMARY ******K********
' PAYMENT DATE- - -- RE::CEIPTI " ' .-- - -PAYMENT AMOUNT-
09/27190:
MOUNT-09/27/90 5890 • 50:003
'TOTAL DUE= 00 ' . TOTAL PAID:::: 50.00
PERM IT• TYPE. .... FEE AMOUNT AMOUNT PAID AMOUNT OWING -
SEWER PERMIT - - - 50.00 - - 50.00 (30 .00
_ 50.030 .. 50.00 .00_ '
PROCESSED BY: JULIE SHATTO- -
PRINTED BY': .JULIE SHATTO - "--
....)t..tt..x.
SEWER STUB AS --BUILT INFORMATION. IS AVAILABLE AT THE -COINS
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS "r0 FIELD LOCATE ANI) CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION -
TO 'I_`C:i(-:A'T'F.-'•F::L'JIi.T.E::z; 't-:AFaI_E::S, GAS PIPING/WATER L:f.NI:,S', :f::�:, T .
CALL_ BEF=ORE _'YOU DIG (45e2--8000)
SEWER ,';.'I'I;JBS - ARE:'= TO BE: CHECKED PRIOR:TO TO CONNEC rICON TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN'
1(-3i..*--.)e;e*.1.3e CALL FOR' INSPECTION PRIOR TO -COVER @:- ..'b.'k'3<'*;':_;.:3,;3i' -
3i'3i'3i..k'3i3i*** 2' HOW NOTICE: REQUIRED
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