1989, 11-09 Permit: 89004222 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, 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 fATE
PROJECT l'lE::89004222 1'T' : i i , 9% :oPAGE= ij
ISSHED PERMIT
:,,. .,t. -}.) *. *.::: i'• » (* if• P• i+. )t. j;. * ){• S{. 1C. * •ii• Jt• Ji• •Jr ),: )i• _ , y '- -» .... ._l. , ..... . .
i n 1 X k Jk a J: {"' I::. I'!. I i T I• ty t•• i, i , !: i l {•:# ! _ 1.., i41 )t• R• •1k• :�t Jt• 7t• :�t• •P.- 7k !k• •Jk �k- �: '!k' �k• :�' •!k• P• ik• :n; +r :ir• :11• k• i?• ;¢ j,; 'p;
SITE :• f E`.. E:: I:::r::.: •{ •{ .. % N BOLIVAR RD P F•# R i::: E L.. •N..... 14543-2840
ADDRESS= SPOKANE WA 99216
PERM.I:! it.. w: SEWER 1::•:i!tJj••4i::f.:..f CONNECTION .... (i S:{�,5.._':i
'j3: 'j?' * SEE E Ni..i..f.i::. )E * *
PLATO= 002970 PLAT NAME= 7TEcLERE SUB
BLOCK= 1 0 LOT= :rZONE= ( i ID.•x-
AREA— ':i .1't• 1=::t"it;) I:: ; ` h; :::: F WIDTH= -125 DEPTH=
OWNER= :::: i».:E f:it..f s ::, DENNIS
STREET= 115 N BOLIVAR RD
ADDRESS= SPOKANE WA 99216
100
PHONE= 509 922 1188
CONTACT NAME= CAROL .... TOM STONE EXCAVATING PHONE NUMBER= BEft` = '::(9 928
7710
BUILDING SETBACKS: FRONT= •a{::} LEFT= :::: ii(i RIGHT= +•H'1•= f•NA REr::1k:::: NA
K**************************** SEWER pEFI_ ;}NYNAPPukPPPFPFpRjP1fiPPhhP[
CONTRACTOR= TOM STONE f.ON::. EXC{•:#VAI.ING
STREET= EET:::: 111 :' I'd a"if'#Iv;I:::R RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
IP..ION
F'ROC::I:: S :I: N6 FEE::
SEWER R CONNEf::TIOiN
PHONE= 509 928 7710
QUANTITY F: E I::• AMOUNT
10.00
40,00
.. a ., ; t .� .. 4, . .
;;. ;,..j,..j;..jt..j,. };..j,: �;..j¢ •ii -i!-'n: •bi •r: •h: •b:..p.:u..j,..};. jk:.j;..j(..j,..p.. ri..il: •a: •>•: •i�: ... ... . .... .
' F�i 't ! i .::. ! •. i I•' F•i •!' f n: •hi •hi u• •h: hi �ni •){• •Ai •)t �: 3e r• hi �Ji• iii u; •ii• �n: -X 'b; ii. l,i •nr •n: 9,..,,: 'N:
PAYMENT A'T r.:. RECEIPT4 PAYMENT AMOUNT
8 9 50,00
TOTAL
:00 TOTAL {?'1I... I"'AII):::: 50,00
PERMIT ..i.7'I::' FEE:: AMOUNT AMOUNT I'A1:T AMOUNT CiW1•NJi.,
SEWER R i `I::.I!.MI.»t 50.00 0 .. Ij 0 ,00
50.00 50.00 .00
PROCESSED BY: JULIE Si'•JA 1..1.O
PRINTED BY: ...iJl_.IF: SHATTO
SEWER �fAS—BUILT • - INFORMATION ; AVAILABLE : t» r
. i::..t #` Y
#..,..i. :..:. ,..,.Y.•.:,• :,T
I, , .i.<..... :_. �1"#1 i I"ll::.hl ( (456-3604)
CONTRACTOR OR APPLICANT I: • TO FIELD I. f:it...:r•1TE AND CONFIRM •i'F'iE.
ELEVATION {':#i,11:? POSITION OF SEWER STUB }.i't• {•:I: •:flr!' TO ANY OTHER
EXCAVATION
[ LOCATE ..:# EDCABLES,
cAi_. : PIPING, JA'E; l , at . fT .
(:.;r`#I...I... BEFORE YOU DIG (...i:,,,....;:i;:jt"ji:; )
SPOKANE 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 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= 09004222 •a
.= •• 0 9 / R9 PAGE. 02
ISSUED PERMIT
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY A E? E:: f ; l... i::. F t E: r-.} int Tl UNOBSTRUCTED TO t ..f . F.(!:: SEWER MAIN
* * 9}: i+ )i..}i• * * CALL (= i,:t E•t INSPECTION PRIOR TO 7 t :1 it tEi:t ii .f.:u ).:u. *:p... ti,. ,u•
a,. *.k. };..h..H; *x •n 24 HOUR NOTICE REQUIRED •x• * •x• * *.0 .;,..p..p. •n:
1?• * -H• A: Pi * * * * * * •p• * •p: -p} •b; •}f• p.• * b:• * * * * 94• * * •P• •k} * . '}i THANK you io: •Pi •k• * * ni •'A:• -'A: * iii iii 1'. U:. •. -hi * •}k 3* •h:• iii •k• *• •}t• •Pik• •* * * ..... *