1989, 11-02 Permit App: 89004416 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that 1 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, 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 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 HATE
PROJECT NUMBER= 8900.416
DATE= 11/02/89
APPLICATION
PAGE= 01
********* *******aR********** APPLICATION **** ***** t•felt•*ttar•x•x•x*#**** x•**
SITE STREET= 10 N BOLIVAR RI) PAR:C:F::LI= 14543-2847
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- D86-2
*** SEE NOTE ***
PL..AT;:M: 002970 PLAT NAME= ZIEGLERS SUB
BLOCK= K:::: 6 LOT= ZONE-: AGY t.JFt DI `'TO
AREA=00000000 F/A= F" WIDTH== DEPTH=
w OF BI....D(.YE- q DWELLINGS=
:_: 1
OWNER= F'AYI)I...E:, F't(.UDY
STREET= 10 N BOLIVAR RD
ADDRESS= SPOKANE WA 99216
PHONE=
F
CONTACT NAME= DONNA —• C'OltRCHAINE CONST PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: : FRONT : NA LEFT= NA RIGHT== NA REAR= NA
to•x•x•xx t ** u*•x*•xtt•***titt ••x•x3i*x:•x* SEWER PERMIT :•x** a•***xik***•x*** x•t:•*tt•ti*to**•x*
CONTRACTOR= CO(.II CHAINES CONSTRUCTION
S..(.F1E:.E:'1— .16402 I::: VnI... I... E Y (AY
ADDRESS= VEFtADAL..E WA 99037
PHONE= 509 924 5485
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FE I::: 'r' 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE
SEWER PERMIT
FEF:: AMOUNT AMOUNT PAID
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE .SHATTO
50 :00 ,.00
50.00 :.00
AMOUNT OWING:
50.00
-------------
50.00
SI:::WE::F4. STUB AS—BUILT INFORMATION TS AVAILABLE AT THF: COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE:' AND CONFIRM THF
ELEVATION AND POSITION OF SEWER 'STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING WATER LINES, F c::T..
CALL BEFORE YOU DIG 456••-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CI...l:'AR AND UNOBSTRUCTED TO THE SEWER MAIN
:•*)i* u:••xtit!• CALL FOR INSPECTION PRIOR TO COVER x••:••xxti••xtr•3rti•x
> * • •ar •3ki;•ti 24 HOUR NOTICE REQUIRED * : •3e•ti •* •
•h:• * P• li li •x ii •h: 456-3604 •h 1t• * ii h: n• )t; h:•
x•tititiii•t>:ti* • •**tk*ir.r•ti*x• :•**•*•*ti******* THANK YOU****3i:•****n•*x**•h**fi*t;•*•x***to***•*x•x•x
-17'7?
JOB ADDRESS:
SUBDIVISION:
OWNER
ADDRESS:
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LICENSE
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INSPECTION DATE:
1
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