1990, 06-05 Permit App: 90002514 Sewer I► r
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
give authority to violateor 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 iyi..JE!BE.i.ht.... 90002514 DATE=1::.:::: `9'";. 1... f PAGE= .., !
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3;.}�.3;..j;.3;..j;.:1{..j;.;;•.,;..„..j;'3+i 3�i 3{•3i'J�:3E 3+-3i.3;.3:.Y-ji,•jf•;?f•Jt iN•R•1N (•i!..! i...�.!..:(•�!� .?.L.1!J *ii•ii i!k-9}:t':*1?•*i?-Jti iR..;i'iri id•i„i t:..j}.Ni lt• Y';t-?{•j,:iN.j...j,.:1;..,:.:1c iri tfb*
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SITE STREET= •.::..s•, `y RAYMOND 1•'!?.JE'`J?i :..R PARCEL:',!:=
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION .... :j7 ` .lM{•iN MICA INTERCEPTOR_R P .•.x 45
*.1,.:1,. :.:•E::.E NOTE 1r 9?••p;
. PLAT4= 000376 PLAT NAME= CHESTER HILLS HEIGHTS
AREA= 00000000 F/A= r• WIDTH= 100 DEPTH= 145 5 =`,•ix:::: 50
.
OWNER= BROWN . SHARON i Hi-7`•Ji:-M:
STREET= 3' '4 RAYMONDt::l:l�°
ADDRESS::. SPOKANE WA 99206
CONTACT i•.rar'?1::.-:: t.:AE•=,?.11... TOM STONE PHONE NUMBER= 509 928 rr'! `I
BUILDING SETBACKS : FRONT= NA E...E::E•' l = NA •!11.;.•? f •• j.•'?A REAR=
*.in•:Nr*hi**b:'3k*3{•h: i***. •Hifi:•'.•.....i•Hi..•Pi.' '* EEWER HERMIT !?i 3$3F 3?r•Ai hi R•34*'Pi•h}'N:•h:••i?i•P••P:Pi A:*3@ 37 Pr 3}:'Pr*Pi•71•'P:•3$3?i
CONTRACTOR= STONE` , X? 3V: TIrr PHONE= }Cr 928
7711
STREET= 1112 N MAMER RD
ADDRESS= >POK<;r`A!:i•Nt.. WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
JI'•I..f.
PROCESSING FEE 10, 00
SEWER CONNECTION 1 .40 . 00
PERMIT TYPE ! E !: M?.tt.JN-, AMOUNT PAID r':;E" '..,r. I OWING
SEWER PERMIT 50.00 00 50 00
50.00 00 50.00
:o 1}..i;.:;.:y.:;.l(.:;.:h.:,i.p.:;.: :?;.:j.f;. :,i.:;.]:ii ;.:j.:•..•::.:.:.C.:,l:::;.:•:;.:::i,:.;.:::::t• '•3(pi p•p..p p ,o 3`'3j'p p•. *P•P•3{•K 3i•p•*3i-fi;*)p.3h pi p•p'3i•p pi fir:R•
..1...7... 1.1.1.....f.}.}. ..J.}. ..3..l..1.1.)t}t J?k jt;,.?1t 1.1k 1.1t..;.1i F 1.3t F.
1. I ,.. NOTE : TOPIC = GENERAL DEPT .... BUILDING
ap 9!;:u;9t•*9t'^.3t-4t•)t•P...J.,...1.1.fi.1.1.1.F.1.*i.12 J..,P...1C 1.1-.1.;.;.1.1.ti 1t 1.1...1,d....,t.1t..1.)...P.1.1... /.i.9.1.1.1.J.t.1.1. ., .... . .. .1. ..
THIS E E ALSO INCLUDES ;Oi;Ti••i 3226 RAYMOND CIRCLE ( DUPLEX)
PROCESSED OC:E SSE::D :is`f` : ,.Jt.JI...:i:E `•:L.iA......fa
PRINTED BY : ,.Jt.JI I.E:. ,..E..lA I I O
SEWER STUB AS-BUILT INFORMATION .1 Y
liTT1 TTIE DEPARTMENT (456-36"
CONTRACTOR OR A :`I:'I....I:Ct=!tj"f' 7:s TO EF'IF:L. ) LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER l'i S'IU 4 PRIOR TO t'!r'1Y OTHER
EXCAVATION
CALL
i.t E...i..?i.:f•;! ? E:. BURIED CABLE .: GAS PIPING , WATER LINES, ECT.?.:t.:!1...i... x{E:.1= R I::: Y t:l i.? t;.I:E.•, }
458-8000)
SEWER STUBS %•t R I::. TO BF i:- i.:;I••IE::[::l{1-.f i PRIOR E E_t CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
•j?•fiiini*''1i•*i!?'** CALL FOR INSPECTION PRIOR Cf, COVER ***:y:**•i•.•'P:*fi:
.µ.�f_,,.3•:•F:9k ih.!:}; ''`¢ HOUR NOTICE E'Ci::.Q?.?.I.E'+.E::.?! .;t•t,,:.j;••j!;;n;.j,..j,.:N.;..3}.
)i p.:1,i:1,..j(..i,:'1?:1?:i!: 456-3604 'Ai 3Fi'Fi 3L fi:****-j':
.....:::i.i'.i s ........:::::i.ii......... THANK, ,K :::•-i .. ..
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