1990, 03-29 Permit App: 90001179 SewerSPOKANE COUNTY DEARTMENT 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90001179 DATE= !:i,:7 ..:. Y'/ . PAGE= 01
APPLICATION
r.},,tt- : r*i))t * * ) n r *; i 7.. r=•v:: t ) APPLICATION * t ))* X *" * )))R*P•n ) t t ) ) } i i}...
..,;
SITE STREET= 418 i FOX -RD :.F:11= 21541-1736
AODRi:::u; ::.. SPOKANE Wit 99206
PERMIT USE= EEWER CONNECTION — 8801
**'}t SEE NOTE )i•)i)t
PLATO= 001315 PLAT T NAME=..?ANi:) 'K`i' SUB OF BLOCKJ'i 6 i `:+`
BLOCK=:7 LOT=
ATnREi::'
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OF
hl... i' (:Y ::_ .... 4 DWELLINGS= `#
I:)Wi'EER:::: DAVIS, 1;_ ••1•
EIRLLL:..r
E RD
A a.i it E": E::. ,'. E :::: SPOKANE W (N 99206
PHONE= 509 928 .4•;i•;•
CONTACT NAME= ....I:::(.1:•.1(:,E;,x, .... H. 6 E Ph•EOi•-1.}.:. NUMBER= ...� i 9268964i UTL..D.E.Ni, i:: T:c{(fit!tiis,`.-> : FRONT= NA LEFT= -NA ::. NA REAR:.:: ;::�.
•7+: 3k iR •A: k• )+j •)i- 1+• •Ai N• * 7+: •P: '1k it• 9t- Jt hi •lt 'X. -'N• )+: H k 'hj * 'i{ .}{. )( SEWER PERMIT )t )$ •A• •1i• A• •it •R• •}+r •i+i •k * Ni * -i+i •}+: ){. j,:.jj: 'Ai Pr inr iui )+i 3+i iur :ui i+li •Pi •Ar id•
CONTRACTOR= H.& ,N CONSTRUCTION
STREET= Y2'.? E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
•.ir:,:; i, ,INC! FEE
E:
StwER
PERM I T TYPE
SEWER FERMI T
FEE AMOUNT
...................................................
-SEED•
50,00
BY: jULTE
S,. .,...
:' :E: i' (T• 1: I) BY: ,.+i..E E...:i: E:: ;' E -E A ..(. T. I.t
AMOUNT
PA ID
:. iiia}
t"•i+'1
PHONE= 509 926 8964
I- EL AMOUNT
•1 0.00
40.00
AMOUNT OWING
...................................................
50,00
•) t'7 . 00
SEWER S(1..)I: A °....:itE.):E:E... r INFORMATION IS AVAILABLE AT THE:: COUNTY
(456-3604)
UTILITIES —1.1P
CONTRACTOR APPLICANT ,S TO FIELD LOCATE r } i°.t I:i CONFIRM •j' E..E E::
ELEVATION AND POSITION OF EWER. STUB B F":iR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED (:: A B E... i::: ;:>' 7 GAE PIPING: Wf ?..:."° LINEE, i-. ,.: ..
CALL .t:;EE'(.)RE::. YOU DIG (456-8000)
SEWER ,`.i T• i.? I:t .,' fig E°' E:. TO BE CHECKED PRIOR TO CONNECTION (s ; INSURE
.THAT TE" EE::.T ARE t-. t :E...E::.(:;; : (•) N #_J UNOBSTRUCTED I i:) TE•i r... SEWER t I(-a.E.,=
K******** CALL E" (.) E `. .t`. l a !:' S::' E:: C f 1 O t''t E"=1:;... COVER )t * )k .XXX * }+:• 4 )t
}• :*****K* 24 HO t.) E'=: NOTICE I•t. 1::.1x! t.i .i.i..' )t )!• )i• li.' )$ ):• )% )t i+?' ,+i
)t )+i .jj.:lt )+r )li •h'r ;i• •j}; 456—'3604 :)1; 1; )t )i' A ilt )+1 )k )+: )k
:.::.lj..:Jy.:.}i.. n ::r11:::jt ar7r i : 7 1 :...i t..JTHANK
;=;' Y 1 y 1 J : :.,{.. :JJ1: : : } t , 11Jk 7y::.��..jjj'