1990, 03-21 Permit: 90001001 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 Land submitted by me or my agent tocompile 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
OWNER REG .— APPLICATION
OWNER OR AGENT W ��vc'^^"—----11► DATE
PROJECT NUMBER-, 90001001
ISSUED PERMIT
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I"C:. '.IIS ,. � tYl MON (\ )Fdi'9f?r)En: dE dpi d6:u)F,iL')E 7F )r * )i )Hi *iHf'k i5 )•)*
T:11..: STREET= r,<t1c, , DI sI-IMAN MICA RD PARCEL0= 29544-0517
ADDRESS= SPOKANE WA 99206
PERMIT USE= "1='IIFR CONNECTION "- DISHMr'u4 MICA INTERCEPTOR PVC?
.) c.s SEE NOTE '** .
FI._AT;;:= 0003€)2 FLAT NAME::::: CHESTER HILLS ADT')
BLOCK= I_l)T= 7 :7.f1NE- AGRI
AREA=- 00011 300 . E/t;=: F WIDTH=
a til.. I:+L..):`,t;S:::: „. DWELLINGS= I
OWNER=: I.'tjI; iiS, WL1_i_'J:AM .1
STREET= E T:.= '210 N DICK RT)
'ADDRESS= SPOKANE WA 99212
;E:F:::: R/W. 75
PHONE= :tit? rl'_yf 2087
C:UNTFiC'f NAME= WILLIAM P'(JRh'Ei>
PHONE NUMBER= 'S 09 974 2087
BUILDING I:L_P1:t.4 Slit:) (ACKS: FRONT=: NA HEFT' -=: Nr' RIGHT= NA PEAR= NA
.R..)(.i{.;F.)('4+i:;gill'**)('Pi*. *:,F*k**'***?H*3)(')*) SEWER PERMIT 'YPi'A?PidB#'hi'Yi hi.h..p..k..l('.p..X.:P:Y@dtdt iii dF irr Yi YF, t.
CONTRACTOR= OWNER PHONE-
:f.TEi•i DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE , 10.00
:EWER CONNECTION I 40,00
}F._q..)tyr..n..h.h)r..)i.;di:')r)a.)F.#..k..)FJi')i'4:..?F.4..;i..tt..*.x--x-F*'.y k. FAYP1I::lNT SUMMARY k..4:#.)r..p4_..ji..)i..h..***X:a..n.)t...;.:,i n. 9, h: u..).4 leK
�..I
PAYMENT Dt.TE REi EIPT:"s PAYMENT AMOUNT
03/21/90 'i 2 7C3 .,:) . 4i ( )
....
TOTAL DUE= .. i}4? TOTAL PAID= 50-00
PERMIT TYPE P' F:. L., AMOUNT i, e,mouNT PAID MOUNT OWING
SEWER PERMIT 50,00 50,00 .00
50.00 50.00 .00
PRDCE.N Et) BY: .IUL..1:E SHAT'
PRINT i :u BY JULIE SHPT TO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
'UTILITIES DE:PARTME:NT (456-3604)
CONTRACTOR OP APPLICANT TS 1'O FIELD L.cir::ATE i=tWn t::f1NF:':LRM THE
ELEVATION
...1 I...1 , : _... AND ,. .., _:. ,. .. _
C.L.1'..VHf.. .. ('i:L' -'Li ;::i I L.I OF C C: d.- SITUP --TOR CO !-i''1 OTHER
EXCAVATION
TO LOCATE: BURIED CABLES, GAS PIPING, WATER I.1:NE:S,
CALL BEFORE" YOU DIG (45A-9000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED lit THE: SEWER MAIN
*ilk?F ;!**** CALL FOR REQUIRED
PRIOR _TO COVER :)F.u'«'h'.)F;i'4:P:;r;aF
)t*)�i*di +,Fif)t. 24 Hf)UI? NOTICE.REQUIRED +r.dF*dFiE=ri#i(:vi)F
* •4?'hr y)ir 94 d4 dF )F 456-3604 )idpi .4;..t n)F i *')4 dF
* jf * 8i )iPi'It P) IF'P: )f j@'h; )\' A ¢F ir)t * 'll' j`} jG $t')F 1(' •1(' it'A P' R'k—YF THANK y i.l U .h..h.;(.
(..h..}F.)f..}i..)F 1F.)i..k..)(..),t Y.)e**** P: jl.R..)t' 3(' * )t i•: *