1991, 03-13 Permit: 90005232 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 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
'(_tC.(_"TEF:90005232 1SEUE> PERMIT
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PERMIT INFORMATION
SITE I::. STREET : 9303 I::. NIXON AVE
ADDRESS= :::: ;zi::(:TitANE WA 99206
6
PERMIT U :::::= SEWER CONNECTION .... A87-1
.X.*.t SEE NOTE *)i*
DATE= 03/13/9i (''AGE • 01
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PARCELO= 17543-1208 ..5....•08
1::'i...AT4003703 Pi...A'T NAiiI:::=: r1:AR;w ADD (:i1...UE I...:i:NE ONLY)
BLOCK= 139 LOT= (r.:iiri ii":E•T••P:::::
}
AREA— i:)t,;jl;lt:lt:JtiJt; 0 I:: / A= I::" WIDTH= DEPTH= 1�';'itii:::
„: O T:{L..D(:;,'1:::: i :": DWELLINGS= l:Y i:_: 'i WATER DIET =
OWNER= R i~i'r•i...i:: R , JOYCE & ROBERT PHONE=
E: =
STREET= c 0 ; rNIXON
AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME::::: LEWISTOM STONE PHONE I`1t.. IBE:R:. 509 928 7710
BUILDING ,kl:.T.iinCItE: FRONT= NA L..E::i=..T.::- NA RIGHT= NA REAR= Nr
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,.:... �1.:: F'; !�' E:. F{ I'I 1. ( 'A• 9h 9l• 'R •P: �• $: 9t: )i ii• 9l• •h.• )�: ii )t• )t: •H: •P: �l• •P.•.4• Y:• 'P: N: •A• i!• i!• 9t: •h: •h:
CONTRACTOR= TOM STONE EXCAVATING
S
X('fiVA:EN(:;-
:'..i•RE.::E::T=:: 1112 N MAHER RD
ADDRESS= SPOKANE t,,(A 99216
PHC:,NEE:::: 50 ?;:. 7710
ITEM DESCRIPTION QUANTITY AMOUNT
PROCESSING FEE Y 10.00
.''EWER CONNECTION 1 40..00
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I�' fit 'Y �~i I•:: P•1'T' ; � t (I'i P'l ��� r•i t' -r.� 1t .t: st: •Pi -P: •n: )i• N:.h..R..h, .r. •h: •n: �: �!..µ. ),..;,..yt..y,..A. •u• * -ii• * h:
PAYMENT NT DATE REcE:I PT N: PAYMENT AMOUNT
03/13/91 1221 50,00
TOTAL DUE= ,00 TOTAL PAID= 50.00
PERMIT TYPE FEE Atli::i(_UNT AMOUNT PAID AMOUNT c:u4:Ei•tl.:Y
EEWER PERMIT 50.00 50
F'...,.,..,•.n ED BY: JULIE }HATTO
PR1li'(ED BY: JULIE ;\I••I(-")TTCi
-----------
50.00 50,00 .00
SEWER ETUB AS—BUILT INFORMATION IS AVAILABLE AT ..(.i..ti::: COUNTY
UT:[1...:i:TIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT :i:s TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OE SEWER ETtJ1`f PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINE;', ECT,
CA'il...i.. BEFORE YOU DIG (456-8000)
SEWER
:T_xa ARE
TO
BECHECKED.
HECKE).PRl(RTO CONNECTION
ONNEC iON TO 7
N
;UPE
HAT T-iE f4ICLEAR_AND iJ(TT;iC=n i(:(Tll-sEFhhhh.."nP,!** CALL FOR INSPECTION
i.** i..* t} HOUR NOTICE
REQUIRED •R•.i :$• )i )i•.i :H -.k P: P:
.i* ?i..x.:ii•hih•h:- 456-••7604 *•h:-a--h:)i.i*.i*-h:
1: * :: -i: a. * r = W .. M• h y: *.: l:.r.!• :: tc x• .:• *.i• :ir ri• )i -.i. * *.i!• it )r THANK f ( „ i.i..A.9)Pi .).)4.Pr )*)*t*
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