1990, 08-16 Permit: 90003659 SewerSPOKANE COUNTY.VEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit/application, state that the information contained in 1 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 REOUIREMENTS/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 l 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=
'10 007659
6 y9
PAGE= 01
CI,iF:t) F'I'r.iiM.1
m y..r miiridie rryiPERMIT F NF_Pq hT:: -ertar 3 3svi iii iiiiNi9ii5 v
a FHTEI,_t= 275 i —20:“
SITE STREET= 13207 r:: .BL0,C'SE:Y AVE
ADDRESS= SPOKANE WA 99216
PERMIT LIST::::::: SEWER CONNECTION .... :1001
dh.j dr SEE NOTE miter:
PL_r^I"C4:-: 001044 PLAT NAPM:::.: OPPOF:.i.1.iNT1Y TERRACE 3RD ADD
BLOCK.- LOT,. 12 `1N::CUB 0FST4
AREA= i(iEiyfir/p.WIDTH,: ,:tIP'Yr- 1:56
F
DWELLINGS:—
: � ..
.I i.. lLr 1. ..: 1
Or -<:1::1'
A)DRSS
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CONTACT NAME= ,-ED
NA
BUILDING SETBACK
FR ::= NA LEFT-- NA h:fi.i
r, MARTON
WA 99216
PHONE= 509 926 1955
r. 5
r.i ;& S F'i'I',NE NUMBER= :509 C:
3*ii:ri*v:ii3*3*3•)i333.3.ii.:n} A::A1Ai A: b;ieii9e
Ea:A:,i g.)i- Sf':IdER PF:R;tiT1
CONTRACTOR= Fi CONSTRUCTION
STREET= i 1 ii r E: VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PRC)fF.,sS'I:NG E i:r::
REAR- NA,
*A*A:;3*P.3IHAii.ii.3*3*31..3:'31.il.ir.lt')•:9: 'V:*ik P:IC* T:9: ':k i
PHONE= 509 926 0964
G)LIANTIT..r EFF_ Ai"ifil.Ii4-1'
10,00
SEWER CONNECTION 'i 40.00
3......333 33.13 ..... .... .. .. .. Y::)in: n.: ., ..
*JCP or �A::9i.9c �re m: ae eru n:ion: di ii�ii dr i.))a iv �r i�)-0i�ii�Ai m: -0¢ -'p, P :'.I. �. �, I"I I'n(�h; 'j k�ii�i4 i4 ar)r d4 ik ie 9i�i, ii ii�)4 iitii�ii A:'s:
PAYMENT DATiE RECEIPT;;. FA'rMEi4T Ati(1IINT
08/1/7. 479i 50,00
3333 _........... _3333.. _..
TOTAL.. DIUF:= ,i')G) TOTAI PAIi:•::=
PERMIT TYPEF E.:E AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 50,00 ,00
PROCESSED .BY JULIE "Fir'a TO
PRINTED DY: JUL:
SEWER
UTILITIES
50,00 50.00 .00
:fii_JIi...- INFORMATION is AVAILABLE AT I COUNTY
'
17
D[:i=•(I 11=11 I 1 (456-3604)
CONTRACTOR iir; ,pt•i..:CCAN'T TS TO FIELD LrIC',tTE: •.e,EJT) CONFIRM TFir:.
ELEVATION ON hdi'JID Pi1•::1 1 Ft]iw (7F :.;EWER STUB PRIOR "i is ANY OTHER
EXCAVATION
TO
I OCOTf.-.: BURIED CA};I..F:S•, GAS F:i:P:FN(; WATER LINES, F"t:iT,
CAL...L., BEFORE Yi l' OTC f4:'.>iS--;1000)
SEWER STUBS
BEARE TBECHECKED PRIOR TO CONNECTION TO INSURE
Y •a 1
THAT THEY ARE CLEAR AND UNOBSTRUCTED ii' THE \i 14f 1 MAIN
INSPECTION :..
Ai )i ii..H..h..ir.a .p..g. CALL FOR F•R1 fil'? TO�: r1 r, Fi ii. u..u. iR .ii..H. ip .k..A..A
ai****#ii4'ie 24 HOUR NOTICE. hi -g ii1:R 1:_f) ******x***
iEdid@3*3 i1Piii.3* 456-3604 3***Ye9).)l.3*3*it.iGYi
3.3.3.1 ......... ............. ...............
or a�r: �irnx..ir m: ia�a�rr �x ar s�ar .pie ar ar 1 ar nay.
ieii 'THANK ¥OU 4E***
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