1989, 07-28 Permit: 89002488 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 I1ATE
NUMBER= - DATE= -
4,i ! •II::.!{..::: :. •li. '; f• ;if.'i�..;,..;}}}*){t iaC )*7PERMIT .nI_Y M } I rN rr*lfi*** s :!` .j.
'JC ; :'i `.
SITE _TRE_^_12518
251r ri O r RD n P [Eta-27542-0725
R
SPOKANEWA 99206
PERMIT USE= I: -RL1rSEWER CONNECT aCN
PLATO= :074:(PLAT J h 1 . _I:LLC:_ Sr PARK
r. h i D
BLOCK= LOT= s { _'. f? fi 1 E.; = i'I C, `: t.i E{ 11: >` ..t. O=
AREA= 0014000 F/A= !' WIDTH:. 100 _ _= .!.;
OF BLDGS= DWELLINGS=
OWNER= Rrz1_.F'i-i , S r';
ADDRESS- SPOKANE . 99206 9206
PHONE= 509 924
CONTACT
O , i iYro-E- J STONE EXCAVATING
_ n A ii ro .•_
BUILDING
lI_INS J TlACK5: FRONT=
rNT= i LEFT=
ET_ N - RIGHT= 'i. 1.if• REAR=
EA.i P1i .-
1Y Ri({ttf,A!..:i{}s7{#irtt(pLtMt1Nt pERF:r ,
CONTRACTOR= TOMTONE EXCAVATING
STREET= 1 1 1' N }AMER RD
ADDRESS= nri iE WA 99216
ITEM 4E r 1IY!ii
•
PHONE- 509 92C
QUANTITY FEE AMOUNT
--------
PROCESSING SING I.: r:.E Y 25,00
MISCELLANEOUS i 6.00
,.''-k.1MUN FEI::: ADJUSTMENT Y 4,00
. .. .. )t yr. r.:.. .5: t'� •`A.E !" ''k ik:; .i
:., .. ..:.:•.: ...:. ...:. . s 1. . } 3i- {�.... ;.. ;i a ! :..; -: ! .!...... ,_ ..1 i" ,..! , . ....:...........:. .
•
PAYMENT DATE I•:
TOTAL t 0 ,) TOTAL I F TYl C;
,00
PERMIT
E TY !... AMOUNT AMOUNT
,.D AMOUNT OWING
_VB1 u PFRMIT 35.00 35.00 '.:'
75,C0 ......Ji J , . .
STEVE
HOL
.r ...; ,... , r.. I
!:
THANK You