1990, 03-05 Permit App: 9000732 SewerI
SPOKANE COUNTY DeP'ARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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= 90000732 r'}Eyl='I....C('�:;•i� filV ?:; PAGE= I
n• •r. ++ n *7? * P::t!- N:- i{• j¢ ji• 1{. * •j{. a{• ii• i+: * * * ) •;{• ){• * * n: )t• * APPLICATION * ** it it 1? it iE •;f )fs{- iF it• •;t• tt •�t• tr :n: r- •n: * .»..e,. r.* •n• * it• * x• * •tt- : e
,.:.LII::: STREET= 12919 l::: F (l RR E:: ,> T A u 1::: P f:; R (::: E I... • _. 27542-1928
ADDRESS= SPOKANE WA 99216
PERMIT T I.J„f::: -: SEWER CONNECTION .._ 8801
r'.) ?{' SEE NOTE ***
PLATO= 001846 PLAT NAME= OPPORTUNITY ,J f...(...f T'i:::f:Vit'r,C E 4TiHH± ADD
BLOCK= 6 LOT= -10 ZONE= AGSUB
AREA= 00000000 Fr i -:: k :' WIDTH= .100 r.)r-F 'T'f.:f:::: 136 6 (' :' 1,1::::
,..s.. BLDGE= 4 DWELLINGS=
..
:tar•!E:.; :::: (..:i'•fl.Jf::.i'`?i_ i::f... ;..; t FRANCE MRS PHONE= �j+. 9 924,:');. {f;;
STREET= .1 .:} )y 1 { 1-: ffll��:!•r�l::} T ►� c
ADDRESS= SPOKANE_ IBJ , 99216
CONTACT JfrE:LEONARD .ir PHONE NUMBER= 5r; 926 n964
BUIL..D.1N(. SETBACKS: : FRON'T= N(I LEFT= NA RIGHT= NA PEAR NA
)k •x• a+: •x• •x• K -){..n: •i+: ii x. h: -i{ •}4 •a• . h:- i{• * •a -h; u:)i: * .X.:n: •j, * k gEwER PERMIT ., .. •.• •T+:• 1t:• jl •b:..j(..){• .. H ....• .... -)r• -)f• .. i{• y+: }:: ;+•. ..j{..A: * P:•
CONTRACTOR= H '4 i CONSTRUCTION
STREET=11817 E:: V A I... I... E:: •'i I4 A T` AVE
ADDRESS= SPOKANE WA 99206
PHONE= !.}+i)':) 926 8964
.ETI:::iM DESCRIPTION QUNTITY FEE AMOUNT
PROCESSING FEE Y 10.00
`'l::I,JF::R (::ONNI:c::T:r.ON 1 40.00
1='ERi'i:r..(. TYPE FEE AMOUNT AMOUNT PAID AMOUNT OLJ:ri`•1C;
SEWER PERMIT 50.00 .00 r:++..).:+;'it•)
50,00 .00 50.00
* * * 1{- * P: •Ai 1{... * ............. 9F •1{• 9{- 7{. M. *:1{..}{• ){- /+i i{• .» 3+i )G 9{• J{- l+i )t• .. 1{• •x• -x• 1{ ){ J{• }k i+: ri• R .) . {. ¥.. N. t.., f j{. jy. 3y. n: h.:. y,..j{..•n•..};. {c *.}= j{. h_. *:n.. * .): 4' 1*
SITE NOTE: TOPIC= GENERAL DEPT:::: BUILDING },;
:,+:: j.::: �.: �.: �.: •.. �.:N.:,.:. e- : i.: �......... •. • :: f • �.: •.: r.::...:,+:: ;.:} •.:+�.: �.:::+�.:+j..0 i. * }. )i ;.:ii 1 : :. �..::+�.: �.: : ;.:,::: sr.: r.: •. • r : �.: �.: +:::: 1.: +::N.: r . i.:u.: �.: j.:p.:+(.:y.:,�.::..j(..jj.
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SITE ALSO INCLU'' FAST 12917 FORREST AVENUE (DUPLEX)
PROCESSED .{ Y : JuLTE I'.I ('•t ..f.. T O
PRINTED BY: •_J(.JI...TE:: ,>>II iTTO
SEWER STUB AS—BUILT INFORMATION i'•iATTCJN IAVAILABLE AT THE COUNTY
DEPARTMENT TMl:::NT (456_-•3, c:)4
. T:S FIELD LOCATE AND CONFIRM THE
ELEVATION (NT) POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE TI::: T':{IJE't:I:E::I CABLES, GAS '' 1f_ WATER .t..: rS,
.Y PIPING,
(:::AL.L. BEFORE YOU DIC (456 —8000 )
SEWER STUBS P;F;I::: TO ({r: CHECKED PRIOR TO CONNECTION TO INSURE
THAT HAT THE:::Y ARE CLEAR AND UNOBSTRUCTED :`•TRU_I(::TI::.1 Trl THE SEWER MAIN
**b:••x-*•r{-•) u•a+; Cs"LL.. FOR INSPECTION PR1:OE. TO
:++:*is•n:•i{*r: it 24 HOUR N...,7' —7 REQUIRED
n: i!
456-3604 i u: •h: li •b} •p} •x• x• x- x
•j?: i{• * .. i{• i{....j;... i;. i{ •r.• J?' h: -}[ i{• iE ){• }r.• :i{• :,{- }{. {• y{. *.j;..* .x• i{• ••r: * N• THANK
"ad; : -
i k- •x• a{• i! ri• 3+? * i+: ac :}+} :tf- :+{• •}?• * * r• * k• ii * i+{• ie * u• ar i{- •ii ){ -x- i{ :f{• r.*
JOB ADDRESS: / 1 f
SUBDIVISION: d�6 1
OWNER: � y�.J
ADDRESS:
IAT :
BLOCK:
CONTRACTOR: t( r
ADDRESS:
PHONE:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: