1989, 12-12 Permit: 89005169 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 HATE
PROJECT NUMRER= 09005169 DATE= 12/17/O9 PAGE= 01
11: 7k •1!- 1t )t' Jt• K- R' 'Ar 1!' It ?:- :: tt• R yt Yt 9; Vit' * ;r * it k it * PERMIT INFORMATION it * * )E 3. 3i• •u *• u• •it d(• is •)f- -;: •!: iE a: •;t
!a5! Z.
SITE > R1;=."!
HllK RD iAs L
: , - 27542-074
ADDRESS= gPOKANE W( 99'0',
PERMIT USE= SEWER CONNECTION .... 080i
I: , i... r^} 't• F::::. '220 • :( P ... L..:. R E.'` T PARK RK r•"•; I) j)
AREA.,, .4000 F:,•`A:::: F WIDTH= 100 DEPTH= 140 .
x OF BF._Dc;S::.. xJ :y: !'..
STREET= __r . I• tii..tlK RD
;'i) : R E:: S,.. - MT. WA 99206
PHONE= _ {'J9 5y2t:; -..::
CONTACT NAME= F...1:.:liN F=:I) F.I R ` I .+ i..I fi N E. B ;. 509 , :
;
BUILDING ljr^S: FRONT= i`,I r1 LEFT= NA ;_ 'F 't:;. I••I :::: NA REAR= ,`:1;
rr .'r .'4 F'. jk ?R hr •)t )+r ?t• * •?+: -?t• ?i: ?+: * k * )k * * . k •1}i 9t- )i: )t' * SEWER 1I? tr tk )it G ii*du te iniinh; . +; hn»n
tie +r
CONTRACTOR= F4 ,. CONSTRUCTION
rJ: Jr'•• ION
AA)DJRE:.,'•S.. SPOKANE WA 992t).1
ITEM DESCRIPTION
PRCIC:ES TNC.; i...„..t.: y
ONNEC 1 { fN
F:..(INI::::: 509 926 R964
[.:F:;:: A?4 IIINT
10.00
vt0.i=)t)
* .
E iur )!� )ir )li •1t''1l• ')t •Pr •!Ir i4• f': -Fr i�.• •Jt� -) iti i'li if =pi it. Pi �?+i •)t• it• P? •)l .jt. ri• )t• )G ^' F•1 �r !"� ::. i `. t , �. i.. i {''. I 1 F•1 .'. 1t• !k k i4'!k .jt. )li '1t• * yt• •?G i+4 91i 'ni * •!t• A:• b: •!li * :k •)t• * 'it• 'il: )!: P: !t
I- A- t°tE N , DATE RECETPT4 PAYMENT AMOUNT
12/12/F.VI 6304 50.00
TOTAL Aj... .t!. ::..... ,00 TOTAL PAID= ..s., ....
4:1
PERMIT TYPE
FEE r,+•SCTi Z4T AMOUNT RAID AMOUNT nwTNG
SEWER PERMIT 50,00 50,00
50,00 50,00 ,00
PROCESSED `ED i Y : :.i:._iF.. T. E t.,I.•Ir,,1TT1.,t
PRINTED
ETUB AS —MILT INFORMATION TS AVATIABIF AT THE COUNTY
HTTLITT.F.c: DEPARTMENT ,..
(::t,NTFi,i::j;_.._F.OF. OR i'yl.:l:'F..:Ft.'AN.T. TS "F•.c) F:1'I_:I.) F I:It:;r' TF AND t''tar`1I .F.1.,,•.} ..ti••ii.,.
ELEVATION AND ! I•• .. h.. i 1 IU o •- ,';.!EWER ; i (t ili (••' •t` , t I it To r i iJ •5' I I . --t f . I -ti
TU PIPING, WATFR !INES, ECT,
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 compilesaid permit is true and correct. In
addition, I have read and understand the INSPECTION REQUI REMENTS/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 f1ATE
PROJECT Nt.)r rBl..., ,.... !S i .. 0 '1 .,^,}'Y DATE- 12/12/P,,,
.. `,.ti.tiET I^:I...I:?l1I.r.
SEWER STUBS A r!` E TO BE CHECKED I'' i'i .r l l:i TO CONNECTION TO .I N I } i ;.1..
THATTHEYARECLEARAND UNOBSTRUCTED •T•f:S 10... THE SEWER
*****K r a.f";INSPECTION PRIOR T COVER •u• •ii• * •x• •ii• •n• •;c• •r: •ii •i,:
24 HOUR NOTICE l•!'..!>.,l .l..r1ET j •k ik k:.j,; .ji..ji. ,,,, ,,i..ji..j,,
u: j,.:, i. .jl..,,, jt i!. j!' 456—'2;604 )t• •}k * * •i!• y;..ji..ji. j;. j;.
****************§******** THANK r (:j I I •ie .;,..* p: ai• * n: * * * ie ]i..j,; *.u. ,,.A :,{ .p;. *.r: if: * *:,:: ;,::3