1990, 06-11 Permit App: 90002623 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= 9000
....
iEdi�it�e,.�r.*gi..7E.jF.yi..7E* **di iE ryi.[ri..Ii..)E.y4**d4*ii h);i7@9i' APPLICATION
SITE STREET= 3914 S BOW:DISH r?D
ADDRESS= ,SPOKANE_ WA 9920
AV; L.ICHT
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PARCEI_.O== 33542..-91
PERMIT t.IS'E:== "EWER CONNECTION -.. :DI HiMAiN P4ICA INTER(EITOR PKC; 45
"... r, - 995,999 PLA NAME=
RANGE
BLOCK= tat.,Il::.: L..(a T:::: ZONE= AG I.) )LrT.—
f'
AREA= 1t_70000Ot) I:r/A=r A WIDTH- r,7 DEPTH= 640 fT;"W=.
CII: -;i...I)iSS = 4 DI:1C-:I...L..I NG = 1
OANE:R SPEAR: MARK
S I RE_E T= 3914 Bow ISH RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEWIS — TOM. STONE
PHONE= 509 927 08S1
PHONE NUMBER= ''?',?($ 'I
BUILDINGSETBACKS: FRONT= NA Li:rl:rT:::: NA RIGHT NA REAR=
PJr1
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CONTRACTOR= TOM STONE EXCAVATING
STREET= 1 1 1 2 N MAiHER RT:;
ADDRESS= SPOKANE WA 99216
:I:TE::M DESCRIPTION
T'I:ON
PROCE::,'.SS:I:NC; FEE
SEWER CONNECTION
PERMIT TYPE::
SEWER PERMIT .
PHONE= 509 928 7711
QUANTITY FEE AMOUNT
r 10..00
1 ,0,.i7r0
FETE AMOUNT AMOUNT PAID AMOUNT OWING
50.00
0 50.00
50,00 .00 50.00
PROM:, ED BY: JULIE SHAT T'0
P R :I: N'1' ED BY: JULIE S i A..t..'T O
SEWER STUB AE—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR DR APPLICANT IN ('(:1 FIELD 1..:D I...tai-.a,"'(I:E AND CONFIRM THE
if:
ELEVATION AND POSITION OF SEWER' STUB PRIOR TO ANY OTHER
EXCAVATION
,...
TO LOCATE BURIED (:::r").tit L..i::.�N,f:!`,:� PIPING, WATER L..:I:NIi:::>, r:.C.:'1":.
CALL BEFORE YOU .DIG --i8 Y00 )
.'EWER STUBS ARE:: TO FE CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED 1 1 11111: SEWER MAIN
**ie'x:**aiai* (:::r=tl...l_ FOR J:i3;;PF::.f.:l.Lt.1!"! PRIOR TO COVER ii..u..;i.7i.ai..u..x.;,..x.*
it3tx ii)ri iri ifitrii 24 HOUR NOTICE REQUIRED ii)i..)i':kii'ii kit'.ii..)6
*ikitPiria'i'hi'ii'ii' 456_..[604 D). k..1i..n);;,t3O uip
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ii'*i4 THANK YOU ii"ii'9e ie dt ii'****
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