1990, 07-31 Permit App: 90003632 Sewer SPOKANE 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 permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to II
give authority to violate or cancel the provisions of any state or local law regulating construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT '1 "_ ER. 90003632 DATE=�C =
PAGE= 0 1
APPLICAITON
1 t*v : i i xa *yiii *i {kfii *a **j9r :* APPLICATION
Ei1ICtTIf ' *) 4 ?a § : iti *k) *ahi ) iinf*ri*1iVi } r * i :
:s.I. f I::: STREET= 2407 ;` i'E I t f:;E ! '.y, RD PARCEL4= 26544-1701
ADDRESS=
:,:;tli • -
A(iD!:i...SS.... VE:Rt••!1?AL.t::. WA 99037
PERMIT tI . E EUL CONNECTION . l
iS L 'f 1MICA INTERCEPTOR l''i=;?.•r 44
.,,** SEE NOTE ,?..,;.p
PLATO= (4{:1'i593 PLAT NAME= Mf::1...Ai. c;f•II._IN ADD
-{l;!�('K= ! LOT= •i ZONE= AG �.`:i. iii:`;•!•;r:-::
REA= 00000000 F/A= F WIDTH= 86 DEPTH= i30 R/W=
OF 1.:{I._ )G,;,...• •t 4 DWELLINGS=
i
f::ti.Wr`4F:r.r:::: PERRY , RONALD i:` ,z,l,, PHONE= 509 9 , 8383
STREET= 2407 g PROGRESS RD
ADDR
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A.DDl: l:::SE:::: V l:..RADAj...i::: IJA 9903 7
t.:O IAC:: i NAME= LEONARD D, .... I..I tRE PHONE NUMBER= ;0'_j9 9'A x)1 4
BUILDING ,`.SI::. t a:st•�t`:!t::: : FRONT=:::: NAI...E.l LEFT= NA RIGHT= NA REAR= NA'
9?•**'14•*9?**•Pi•A•*:!••jar*•Pi*****-Pi•***9i••i`i*-Ai•ji : : 1 " PERMIT ; phi11 p : * A 2r R 1 : A : P* :. . .
• CONTRACTOR= H
CONSTRUCTION PHONE= . . . r
8964
STREET= 11817
E:: 'r`t'}...L..E•YWA'�' AVE
l
t•7DIJRt::.,` .c:::: EPOKANE I.LI • 99206
ITEM Ei', t,E:.;'f:::F :l:f: Ii :il'•j QUANTITY r' FE::i.E: AMOUNT
I Ia:Iii I:::,:ETN.i; Fi:::E: ...........
,•EwE:.E?: CONNECTION i 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT f .I , ,
,`•>EWER PERMIT
50.00 .00 50,00
50,00
,, . - , . 0 50,00
PROCESSED BY : JULIE a:l::: >$I1:! 1. 1•f:i
PRINTED ED BY : JULIE ,.r-it} i t f:i
SEWER ,:; i I I C:{ AE—BUILT :l: �!i..i I,�:�i t'}T 1:i'i i`j :l:," AVAILABLE A T' t'l..l I: :i:
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT 1:,': TO FIELD LOCATE AND CONFIRM ..i.fli::'
ELEVATION AND POSITION %:ii:` SEWER STUB PRIOR '1"O ANY OTHER
1:::R
EXCAVATION
TO LOCATE t::. r{UE;1.E:i::-, CABLE,'', f:;r•iE PIPING, WATER f• F i I 'I EE , ECT ,
t.:At...t... BEFORE YOU DIG (456-8000)
.... ..t• f'l.ix:{;::r�ARE TOBE CHECKED , i:�::i:fat�t: TO CONNECTION t �_i INSUREi
THAT THEY t t•!I I CLEAR AND UNOBSTRUCTED TO THE SEWER R t:
IN
.p}.ji•***!y.j,;*.p, CALL FOP INSPECTION PRIOR TO %'::O+,';i.+,..1�.:it•n:•a:•iG3iiG •'j�i�:
itit•1+.p ii*.'ii r: 24 HOUR NOTICE CEQiE EFi p*
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• ::)!".?—.3604 Pi•Ai*•Pr•!,;at.jF•*ii••Ni
-x...ji.ti-***it•- ar- *****i'•J!•***:ei.: ,,.,j.:?::::,t.j-..i.jp THANK •., ... ...
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