1989, 10-26 Permit App: 89004311 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 and state that the information contained In it and submitted by me or my agent to compile said permit Is true and correct. In
addition, 1 have read and understand the INSPECTION REOUI REMENTS/NOTICE provisions included herein and agreeto 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 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
OWNER OR AGENT
T NUMBER -
89004311
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APPLICATION
RATE
DATE= i
APR .
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SIT _, _... 13323 2754
ADDRESS= SPOKANE WA 92216
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r; :E l`i.T.T USE= SEWER CONNECTION , 801
i.:c.* SEE: NOTE ji..)i:*
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-' ..r..y :x _:: ., o- ,_ ... PLAT :•_n1::.=:: OPPORTUNITY TERRACE ,I'?,.) ADD
BLOCK= LOT.: 17 ZONE= 6 x>, f D
.iT?:
AREA= 0000000n:, i. ,: r,r..; L. WIDTH= DEF3H=
BLDG'S= 1ndE:. L. i._LpJ(.,`. r:
CJb.WNER=:: C)RL, IJN, (:("i(::DON
'STREET= 13323 I:: F?I.-O;';;EEY AVE.
ADDRESS= SPOKANE tJA 99216
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:,el -GT NAME= DCNhNA _ fCa1Fina.r..(o_i Il:r ra_-REF - r . r :27 -r
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT :: Ni`i PEAR= NA
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..*. SEWER
.D
CONTRACTOR::
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STREET= I l�E::E_"i':::: 'i r';.gii,A? E:: 11AL..i...E::'tI:1A''(
ADDRESS= VERAr':,i E WA 99037
ITEM DESCRIPTInN
PROCESSING I i.::
f.:1::,I,JFER CriNNE:.(: r:rc N
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PHONE= 509 ; 5485
(:?I.1 AN.T1..J. Y AMOUN.1
40: Hl')
PERMIT TYPE FEE Ar i AMOUNT PAID p,r'ii,HN: OWING
SEWER PERMIT 5{), 00 AO r3 ' 50,00
50 LOO 50,00
PR SHAT,_
PRINTED FLY: SHATTO
SEWER STUD A;; _ '' ENFORMATION IS A1!A:rl.,AI;L_E as THE COUNTY
('Y
L. JT:Ei...:i:i'TELS DEPARTMENT (•156.3604)
CONTRACTOR t r o-`rr'E`L.l:,:.f::i`i-E IS 'i'r) FIELD LOCAn AND i:l'INI :IPM rI11:
ELEVATION AND POSITION ('11:' SEWER .'iTLIYI F'i?'E(li:{ 'iij r'riJ`: YIMER
EXCAVATION
TC LOCATE E .,,_Jr, !.c:..t:CAM .E S : GAS PIPING, HACALL BEFOREYOUDIG L456 --80'.)C)
I:I FLS: E:::(:"E:
SEWER sTUI':1 ARE.TO BE CHECKED PRIOR To CONNECTION TO INSURE
THAT TE1EY ARE CLEAR AND UNOBSTRUCTED '1O THE SEWER MAIN
h}'n: k'u'hdr umn CALL i-C;R INSPECTION PRIOR ('•(.) COVER P: '!t'$r AH!rr'A P: P: ')•)
9l ')i; iP 9f '!t'9: 'P: 'lf :°:
iios rrhrt ahi456-3604 y:r
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THANK YOU !l'
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