1990, 09-27 Permit: 90004803 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
.SPOKANE, WASHINGTON 99260
(509) 456-3675
!certify that 1 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 REOUIREMENTS/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. 1 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= 9000.4803
ii-****x•ir'iEfiri3rF rr#r#) ***fie*****h:iiii' PERM'
SITE STREET= i f51,0 I:i:- MAIN AVE
ADDRESS== SPOKANE WAY 99206
PERMIT USE= SEWER•CONNELTION E87--1.
ri rt3e SEF.. NOTE t3(34.
TLAT4= 001852' PLATNAME=. OPFORT'I.INI:TY (TR, 1 ..1 421:i4r.:. i <a'>..:.,: _,
-BLOCK= . - - - . I...OT::_ '..3N[-:::: A(:;.SUB D I:ST''k::::
AREA- 00000000 1% A = F- IM " Tl.. = DEPTH.-: Ft:'Wv,
OF I3L_DGS:= 4 DWELLINGS= . 1
OWNER=: LARSON, N I._ & B J
STREET= 1151'0 E MAIN AVE -
. A:(;.DRESS:_: SPOKANE WA 99206 -
DATE== 09!27/961 r PAGE= 01
ISSUED PERMIT • •
-
[NFOIiMATTON.3t3e#3t3e36***,e t******F.:******:***
F'ARcF:L:II:=:: i6544:-0434
f)HONF
CONTACT NAME= LEONARD.— H iti S PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT.= NA LEFT= NA RIGHT= NA • REAR= NA
-***********4**************** .S' E W E. R F F R M I 'J - *4****************************
CONTRACTOR=.H.&.S CONSTRUCTION
STREET= 11817 E VALL.F.::YWAY AVE::
• ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEF-- .
SEWER CONNECTION
- PHONE:::: 509 926 0964. -
P1.JANTI:TY FEE AMOUNT
Y . 10,00
1
40„00
ie*)tk**14x-*#:rid4i(iFirs:i{u.h..h.*.l(..**** (.di.ii..* PAYMENT SUMMARY k3i*i';it*.l(..le.7eie:nl..****a:
'
PAYMENT .DATE . RECE.IPT11: . .. -PAYMIE T AMOUNT
4 -(:ir %2-x'/96) 596.1 ... tit 00
TOTAL DUE= ' .00 TOTAL_ PAID=•
PERMIT TYPE:: . ..FEE AMOUNT AMOUNT PAIT) .AMOUNT n41INf;
50,00
. 50,00 0 . 50,00
a:3t*K. K.x:K**
PROCESSED BY: JULIE .SHATTO ..
PRINTED) RY,: JUL1E , SHATTO
SEWER STUB AS -BUILT INFORMATION :[S AVAI).AB1'.I:i: r.T THE COUNT'
UTILITIES -DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD L_OW::ATE AND CONFIRM THE
ELEVATION ANT) POSITION OF SEWER STUB PRIOR TO ANY OTHER
• EXCAVATION ' - - . -
TO LOCATE BURIED CAC31...1:::.' , GAN PIPING, WATER LINES, F.i:C':T,
CALL. BEFORE—YOU—DIG (456--8000) -
- SEWER STIJFtS- ARE'' TO •1,{E CHECKED PRIOR TO y CONNE.:C: PION TO INSURE
-THAT THEY ARE CLEAR AND UNOBSTRUCTED 1 O THE REC1f R MAIN
a Ki(:ar ru.:,.:.;(*•CALL. FOR INSPECTION PRIOR TO COVER innf ii7(3e K3(
:k44.********
HHttnt,up)4 TfLR NOTICEREQUIRED' . :,;•;i;K3ii s-
ieeKKe33ii T56.--3a6/o-. **K(eP333, .
***3t 3S3k1.`.R.:A.:l(';k'!k'1('** ti(')tlt'lt"7("lF'K#it in j('jE*** THANK YOIJ x-K-#3f#**ie*rt)E*ie-eir**x)e**-*•3e)ei *•**): }(ti)k