1990, 08-08 Permit App: 90003822 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/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 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 permiUapplication 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= 9000382
DATE= 08:08/ r PAGE=
APPLICATION
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SITE Si REE.1= 120 N MOF F .I. f T RD PARE: L.. 4= 16543-0935
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION ••- B87-•1
•** SEE NOTE -x•3
PLATO= 001654 PLAT NAME= MOFFITT' S SUB . BLK .151 OF'P ,
BLOCK= 151 LOT= Et ZONE= HES DIST; = F -
AREA= 00000000 Fr A= F WIDTH= 144 DEPTH= 1900 R / W=
O OF BLDGS= O DWELLINGS= 1
OWNER= GUENZE"L_ KARL PHONE=
STREET= 1 20 N MOFFITT RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ERIC .... A & 1< PHONE NUMBER= 509 922 722i
BUILDING SETBACKS: FRONT- ,lf.4 LEFT= NA RIGHT= NA REAR=: NA
***#**#***#*#***•}f••)i**i* •*v;bi•- *** SEWER PERMIT ****•Jt:****x•-h:•****#it•#*#:is*ii*##•x* •
CONTRACTOR= A & K EXCAVATING ING PHONE::= 509 922 722i
STREET= 17416 E MONTGOMERY DR
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PROCESSING FEF
SEWER CONNECTION
PERMIT TYPE:
SEWER PERMIT
FEE AMOUNT
PROCESSED BY: JULIE EHATTO
PRINTED BY: JULIE:: S -IA TTO
50.00
90.00
QUANTITY FEE AMOUNT
1' 10.00
40.00
AMOUNT PAID AMOUNT OWING
.00 50.00
.00 50.00
SEWER STUB ',-••RUILT INFORMATION 1:S AVAILABLE AT THE.. COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS I-0 FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TG ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAA PIPING, WATER i...1:NES, ECT.
CAI...L BEFORE YOU DIG (456-8000)
SEWER STUBS ARE: TO ►..i.: i. ii. Ck;:r.. PRIOR li l ,. ; TO 1-N:1.1PF
TI•'IAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********K CALL FOF. IN;SPE"CTT.ON PRIOR TO COVER }t-X.••K•L:•it•r}• #•h?i@
********it 24 HOUR NOTICE RF1?1JIRFD ***)**-k *
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