1990, 01-24 Permit App: 90000295 SewerSPOKANE COUNTY DEPARTMENT 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, 1 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= 9000029-
h
.0"l `0 t1s-
ti'94-:*34 )4'J4r #).3'.34.34.3494 r:****9f 9(ii ii 9f * )i 7F APP I_.:(f":4T TON ****4
DATE= 01/24/90 j=AGr:.-
APPLICATION
*****X*****
SITE STREET= 210 iV LOCUST RD P.'tRCEL.4=::
ADDRESS= SPOKANE i,.1G:7 9920{)
PERMIT USE= SEWER CONNECTION .... Ae7....1
.34ii* :IEE: NOTE {I& •)e)&
I:'IOT:11:=: :)0i854 PLAT T NP)i''if:::::. OPPOI:iTiliNIT PLAT :h
BLOCK=
1CCg:",,r} LOT— ,
aNI=r'1i:R:i: T'i'I'S'T':":::. Iii
AREA= 00000O01 P'/A::: F WIDTH DEPT -1- R/111:-
OF J31.DG;i:.:: '.i: DWEL..L..:f.NGE:=. 1
OWNER= J)I:l.JOI:JI), AL.
STREET= 2.10 N LOCUST RD
ADDRESS= SPOKANE WA 99206'
PHONE=
CONTACT NAPE= ABLE EXCAVATING P v:.:ra"1:: NUMBER= .509 325
+il....LDINC; SETBACKS: FRONT-:= NA LIFT= NA RIGHT= NA REAR NA
..
@i494'it 91`94 dG.lF.7E.Ii 9i�il; 9i �ii .349.3 ii .h: )i :�i.:u..hi di�9R'h; )i"h? SEWER PERMIT
.:. '{'..i1
CONTRACTOR:':: rrBi..ii_ i:::X[:t_7'VAT:I:Nr:;
STREET l_3(' 1,1 DEUCE AVE
ADDRESS SPOKANE WA 99208
'I:TI:.:'ii DESCRIPTION
PROCE S:i:NG FEE
SEWER CONNECTION
(PHI.1('b'n.'-*i(•"hihi35.34S)h)4*h. 'k'91i 9i ). )i!9i",41.3.34
PHONE:.: !;09 3645525
G!IJAi'Ji i:TY I:'1:F AMOUNT
Y
10.00
f 4i.0o
PERMIT TYPE:: 1'i T:: A'fi(3t.JiNT AiMOLii'4T PAID AMOUNT OWING
SEWER E'E::I?M]:T 50.00 ,4710 z,0.00
50.00 5:.
,00
(lr:'F:i>'SPi:'D BY. .ILIL.IE SHr^,TTO
F:'(i7:NTI:::J) BY: ,!IJI..Tr: :?L.ir"t l i'O
;.:,Vptrr).4i11..1: AT ..r.0
SEWER STUB r'1::; ' t':!1 I I" ; INFORMATION 'r" THE COUNTY
UTILITIES DEPARTMENT TMENT (.4?`.i,,y....:,Tr)O4 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND rt:JNr.I:PM 'T411::;
ELEVATION AND POSITION .ow OF SEWER STUB PRIOR TO AtJY OTHER
EXCAVATION
TO LOCATE: RLJP ED CABLES, (:;AS PIPING, WATER LINES, P:'(:'7.
CA1._L BEFORE "i'T i_' iiYE (456-8000)
SEWER STUBS ARE ..1O :B[ -E CHECKED FRIM TO CONNECTION TO :I:'tlj`URF
THAT THEY ARE f::1i:-r+J:: rgNr) IINflWSTIaUCTIT) 111 THE .Si'LJJ::Ii iJA7i,i
i., .., .... . ,.., .., . :.
CAU _.. 1"(J"� J.i J.. .:. L. .. .!i i.. .�.. i"i' TO f:1„i v)..ii 71 7i. di')[h).34 h}.h7*9(•
)49('47 )(':B: *94** p"I(Il iR iJill :f r:E I'i G.l!i,I.P r'Fu d4 dE dF ).3'94'.31794 )4 ie )F
i..Y 6-3604 )4 34'74 d(.:l•i 917 d@')I"li' :iii
n")1:'33':::11:'n'r:'h:'II:a4*'****34n;'7F'7c)4)4343'n'
.3494 THANK YOU '7(')e34)F9r'li')4)('3)4#3434:n;'7(34$.h7949ir7('i4947(.3(9(74)47
JOB ADDRESS:
SUBDIVISION:
OWNER:
ADDRESS:
CONTRACTOR:
ADDRESS:
LICENSE #: A Q 1
lel , 0 -lo e.,,z_S-/-
1 `2 3- 1(6/.0
A d_
LOT : BLOCK:
PHONE:
PHONE: v co /s
Lo. a-3 Z1 � 2u� 53 4.
INSPECTION DATE: 1
TYPE OF OCCUPANCY: 5 (y/) a,