1990, 04-30 Permit: 90001760 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 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 l 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 can the provisions ofate or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating constructro//
SIGNATURE % /�/,J� /i///���`7 APPLICATION g :-74)/
f 63
OWNER OR AGENT /1(�i ( /�/`' DATE /lY /
PROJECT NUMBER= 90001760
IS.SlIEb I -'(_RMT T
1rJ 4*3*i[1GRIt H'A)' ii:lt' 4* illi 3*4*,f H-3*3': is{n}fi}
***),*********A************* " PER (h9i I P' {+'1"I/1
SI.TE:. .')'TRE:IE(.::: :',4 26 ,E' PINES RT) E'Aata.:.l..:g:= 290
ADDRESS= 4F'OKANIi: WA '?9206
PERMIT l]USE= SEWER CONNECTION f.P1:j (`rphr..OME3
*** SEE NOTE )i*if
P'I...AT4004152 PLAT NAME=:: iiMID.I:I_CWIE 4TH ADD
BLOCK= :? I_nT-.: 5 'ZONE= SFR
AREA= F/A:-: F W.T.DT'H:: 85
4 OF III...D(:;5-= 4 DWEL._I._:LPJGS=.
15.7) R'/LI_. 60
OWNER= C:. H D INC PHONE- 509 926 5229
STREET= r O BOX 1::1 1
ADDRESS= SPOKANE:: WA 992.1
CONTACT NAME::: i..IES CROSBY PHONE NUMBER= 509 926 522-P
BUILDING SETBACKS: FONT- NA LEFT? = NA RIGHT= NA REAR== NA
$-)(ii.4-1&1*-3*-)?4*-4*h:'n' Ik'* 1F9i..n}M.dp3.)''.H'.• 34*)':': K ;;I::"i.IE:.R PF'. RIm T'ii)*iEh}i(*.#'.h''i(.$4*4,.p7.)i..)(.:tt.y: i'".y; p;)' h'* 3' b( ani i'- A*')d 4('
CONTRACTOR= 1; H T1 INC
STREET= P 0 BOX 1:71
ADDRESS= SPOKANE wA 99213
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE== 509 926 5229
QUANTITY EFT. AMOUNT
"i 10,00
40.00
.k:K'li.K..j(.'K'$t'$:a)'n:'K'fi:'K.j(.:Ig.K.:K.:p:'K..j(..1i..K .K...p .it.3(..K..)(..K..K..j(. PAYMENT I::. :? UMMARY
PAYMENT DATE 1'=i:F'"EI:I'TG:
04/30/90 2057 50.00
TOTAL DUE= ,n0 TOTAL PAID= 50,00
PERMIT TYPE FE1 r1PiOUNT AMOUNT PAID AM(al"IN"i OW:LN,
50.0 50,00 :00
50.00 50.00 .00
.*.4..4..4.4. ri..K..h..K..1(..K it:P: ii'v: i•: i':' * 3(' 3i
PAYMENT AMOUNT
::'I':.I.il_"P PERMIT
tl1. f
(: E:.`.;SI:::T) CIY: „II'I...I:F. SHATTO
R::I:N`TED :CIY: JULIE SHATTO
SEWER :>'11111 AS—BUILT INFORMATION 7:S AVAILABLE AT '1111:r COUNTY
UTILITIES DEPARTMENT (45/....:560.4)
CONTRACTOR OP APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND i OSIT.111IN 11E:' SEWER STUB PRIOR TO ANY (1TI11iCE''.
EXCAVATION
TO LOCATE BURIED CABLES,. GAS PIPING, WATER LINES, FC_(
CALL. BEFORE: 1''1' DIG (456--8(041)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNEC:TT%ii'•' To :LNsi"IRE:
THAT THEY ARE CLEAR r=irJT' UNOBSTRUCTED Iti
a 11 1 SEWER
MAIN
34hK4e4s)CALL FOR INSPECTION PRIOR TO ,t1IR iifiani)P
m u
ri•4PKi4ii3iiu:43( 24 HOUR r-J,trj:CEi: RE:C1(.l:I:i:'I, i; r'iHH(*****
ii?K4&3*@*n33 456__3(5(34 .3* 4}*3*4('.K)i. ii'
r 3E3i 3f 8 3Te 4 e e i@e 4e iK?dxdiK4THANK iul39tii d4ma.arei4r?F Sau*nrnr4u