1989, 11-13 Permit App: 89004648 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 - DATE
PROJECT NUMBER= 89004648 DATE= 11/13/09 PAGE=
APPLICATION
N3E3r3•:#.)e) *---)E-) 3i -de x--3E)E**-x--*.k..)i*i *-x-3e3i#&3F*3E
APPLICATION
i 3i E3E3E3E*x--x-*)i)e#*)E*******-x--1*-i-**h:*
SITE STREET= 13917 F-:: MAIN AVE PARCE14= 14543-2731
ADDRESS.- SPOKANE WA 9921.5
PERMIT USE= SEWER CONNECTION -- '086--2
x..** SEE: NOTE. ***
PI..AT4=. 000750 PLAT NAME= EVERGREEN ACRES ADI)
BLOCK= 2 LOT= 8 ZONE= AGSUB DIST'O= F
AREA= 00000000 F/A= E WIDTH= 84 DEPTH= 154 R/W=
OF BLDGS= M DWEI...L.T.NG S=
OWNER= FOISY, S C
STREET= i39i7 E MAIN AVE
ADDRESS=:: SPOKANE WA 99216
PHONE=
CONTACT NAME=:: LEONARD -- 1-1 & S PHONE: NUMBER= 509 926 8964
BUILDING SETBACKS:' FRONT= NA LEFT= NA RIGHT=: NA REAR'- NA
.R..)f..A. •p:.X..x..k..k..11..k.:R. R..I;. $:..h..lt..tt..A 3E 3E *.Sl..11..)E.lt..k.:* * * SEWER PERMIT
CONTRACTOR= H h S CONSTRUCTION
STREET= 11817 E VAL_L.EYWAY AVE
ADDRESS= SPOKANE WA 99206
3i**3F******- 3ek3eii•***ii.%..*3': 3': to#**3e3E
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY F'E:F:: AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION I 4(1.00
PERMIT TYPE FE:: AMOUNT' AMOUNT PATO AMfUWT OWING;
SEWER PERMIT 50.00 .00 50.00
r.r(i )'i c o d7 50.00
o
PROCESSED 13Y: JULIE SHATTO
PRINTED BY: ...JULIE SHATTO
SEWER STI -JB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3.504)
CONTRACTOR OR APPLICANT IS TO F'FFLD LOCATE AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
'TO LOCATE BURIED CABLES, GASPIPING, WATER LINES, ECT.
CALL. BEFORE YOU DIG (456--8000)
SEWF:Ft STUBS ARE TO BE CHE ;KET) PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOB,STRtll"T'ED TO THE SEWER MAIN
S*d3e* *** CAL.L. FOR INSPECTION PRIOR TO COVER .*)i....)i..u.x..tt.**
3i***3:31.;E.tit.* .24 HOUR NOTICE: REQUIRED 3E3i)f3i3i3i3e3eA3e
3t.k..tt..gkk*3i'n: 456-3604 A)i A..1<..tt.*.tt..h..li../E
•
3e********i.*.)r..h..h.iE.Yi..***)e}::ri.3c3ti.ii--$**..)E*** THANK you rtiE#ii)i.ii.:re.)e.)eah*##H-#ie)***3E*)e:*.*.*.*.ri..k:.)e iE ie ii
JOB ADDRESS:
3 g t `7 r 1110_-1/1
SUBDIVISION: 1'f 6 q --D-Q751
OWNER:
ADDRESS:
CONTRACTOR : '
ADDRESS:
,cy
LOT : BLOCK:
PHONE:
PHONE:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: