1990, 04-23 Permit App: 90001618 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= 90001618
POT= = 91 :90
.. t
PAGE= 01
** ,>'** '****•*********u•*3'****** APPLICATION **iE')<'#*ii'#*#**ic*******##**44Mti'**A
SITE STREET= 13201 E BLOSSEY AVE PARC::ELa= 27541-2030
ADDRESS= SPOKANE WA 9921 6
PERMIT USE== SEWER CONNECTION -- 8801
*.n.* SEE. NOTE ***
F'L.A•T;:= 001 844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADT)
BLOCK= 2 LOT= 11 ZONE= Fi•-2 D.T. ST 4= F
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 136 R/' =
:11 OF I:tLDGS= 0 DWELLINGS= 1
OWNER= SAME, GI.-E:N A
ETRE T== 13201 E T+i...C.1SSY AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 928 4281
90
CONTACT ACT NAME= LEONARD - 1••1 & S PHONE NUMBER= 509 926 6964
BUILDING SETBACKS: FRONT= th. LEFT= NA RIGHT= NA REAR= NA
p_. *. *.* * *...*.h..* ..k. * * -Pl -b: * .h. * *. p...*.h..h * .A * *. SEWER PERMIT *'*) *x')l'***•h.'**.**.*:p:*.**.*'h'•'a:***•*•
CONTRACTOR= H CONSTRUCTION
STREET= 11817 1" VAI_.L...r:::YWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PHONE= 509 926 6964
QUANTITY FEE. AMOUNT
PROCESSING FEE Y 10,00
SE=WER CONNECTION 1 40.00
PERMIT ....Y 'E: FEE AMOUNTAMOUNT FAID AMOUNT OWING
SEWER PERMIT 5000 .00 50.00
50.00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS -BUILT INFORMATION IS AVAII._.ABI...E: AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIE.I...D LOCATE AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR T'0 ANY OTHER
E:XCAVATIfM
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
*-,r:-******* CALL_ FOR INSPECTION PRIOR TO COVER **********
'iE'* ****** 24 HOUR NOTICE REQUIRED **********
*-******** 456-3604 ***.....yr.*...*.p:
****,w- ********'*• *******•**'•**'*** '
• YOU ***#*#***iE#***********•ii•*ii'*•u•�{•yi•4�iFar:,;