1989, 09-06 Permit: 89003022 Sewer•-c• ,:".,--.;S.ROKANE COUNTY DEPARTMtNT F BUILDING AND SAFETY
W. 1303 BROADWAY AVEHGE '' I •-• c.
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 enc correct In
addition. Lhave read and understand the INSPECTION REOUIREMENTS/NOTICE provisions included herein and agate to comply withsame. All provisions of laws
liifixtfifieke-agovernIng thla.tYPfx°1w0(1/4 wittPilcrfPlletisiltvIth wnetnecspeclIted herein or ncit,4nclef 'taro that,We tasuance of .1pfapermll anttarty subsequent
Inspection approvals or Certificates of Occupancy gortstrtied to gke aUtnority id violate Of ctifiqaithe'prortslons 61.any staleor let;regutating- • .."
construction. or as a warranty of conformance with the provisions of any state or local taws regulating construction.
SIGNATURE OF APPLICATIONnATE
OWNER OR AGENT
PROJECT NUMBER- 390?,:1022
DATE:- 09/6/09 PGE-, 0;
ISSUED PERMIT
***X****NA/crfh.h:AilDHthif:fihhheA PERMIT INFORMATION IIARRMXY*h""(XhXWI'""""'
SITE STMIET= 170::2 E BLOSSFY AVE PAPCEL;It 2./542 )4I:';
ADDRESS- SP'.:LJ; 99206
PERMIT USE= SEWER CONNECIION
nnn-SEE NOTE nx:/:
LATt=
AREA=
4 OF BLDGS=
001044 PLAT NAME= OPPORMJITY TEflflACE :RD ADD
LOT..., 4 ZONE= SFR D.I.:/14
F/A= F WIG;H= 05 DEPTH= 1.P1O= 5C
t DWELLINGS=
OWNER,, H, ALLEN
STREET::: 1:?,002 E BLOSSEY AVE
ADDRESS SPOKANE WA 99206
CONTACT NAME= DONNA COOPCUATNE
PHONE:: 924 70)1
PHONE NUMBER= 509 924 E11:G
BUILDING SETE;ACKE: FRCWITh. OA L.E.FT= NA PiGHI= N& REAR,, NA
SEWER PERMIT
CONTRACTOP= COORCHAINE CONSTRUCIION
STREET= 16,1,..,2 E VALLEYWAY
VEEHDALF wn 990711
ITEM DE0O;'4'I1
frON
•
PEOPFSS1:00 FEE
SEUEP 04.11.T.CTION
PHONE,. 5-Y2 921 5425
QUANTITY EFEOUNT
y fr .71.Jr: * )1' )!
t-Ei 12 A' I LI C I; ' 1 'A iqr100,) ;
.,.
TOTAL DUE.= .00 10IAL PAID= 50,0C
PERMII TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PER;MLT 50_00 50-00 -00
5U_00 .00
0 C E E Y .11_ SI; A 'T 0
NLOIPvnLADATHE GnnILE T HiITY
UTILillE.:-DEPAPIMENT .j604)
GIDNIM1.HIOP OP APPLIOAHT IS f0 FTEI LOCAIEANB CONFIPM THE:
ELEVAII0;: AND romIoN OF ZLOER Cin PRIOR TO A.0`;' OTHER
En.CAVATI0i;
TO IUCATE DURIED CADLE.?) 1,AS PIPING, WATER LINES, ECT,
CAL1 EIEFONE YOU DIG (456-0fY10)