1990, 04-16 Permit: 90001173 SewerSPOKANE COUNTY DEPAR'T'MENT 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 corret, and authorize Spokane prov sio scincluded herein and agree to comply with same.Allllroceed with provisioof laws and ordinances governing this rocessin. In addition, I have read and rtype of work willl be complied with stand the INSECTION Ewhe hes specified
gherein or ive authority to violateor that the issuance of this ancel the provisions of any state orr local law reguPlication and lating construct ouent n or as a wection arranty ty of conforrovals or mance wes of ith the provisions ons of ashall not ny construed
local
laws regulating construction.
APPLICATION
SIGNATURE OF DATE
OWNER OR AGENT
90001173 DATE= 04/'i 9~:, PAGE= 01
ISEUED PERMIT
PROJECTPROJECTi'dl.Ji'iI:;E::f: =
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i+ i•xarxxxxx3i•xxxx iixxxxxxxit•* ii•xxx3a
SITE S"('f?E::I:::'r-:: 212 S ROHIE RD
ADDRESS:::: SPOKANE. WA 99206
PERMIT USE::::- SEWER CONNECTION -•• B87-1
xxx SEE NOTE xx x
PLAT4= 001839 PLAT NAME=: c: PP . TR : 1....354
BLOCK= 179 LOT= ZONE:: rpt(rSt.iR •D:I:;:ST4 f
AREA- 00000000 f:•/Ft-:: F WIDTH= 99 DEPTH= f'i'I::_ ;.?70 (/W::
O1= BL..I)GS:::: :„ DWELLINGS= i
(:iWNER:::: I<INKr DE R f` PHONE=
STREET:::: 212 S ROR fi RD�•
ADDRESS= SPOKANE WA 99206
PHONE NUMBER= 509 syr, ^ 864
BUILDING
CONTACT NAME= LEONARD .... H & ; � , ._...5
BUIL..DINCY SETBACKS: FRONT:-: NA LEFT= NA RIGHT= NA REAR= NA
3ixx3ixx)ix*xbilixHiix*xi{)+:#x*xx4*b: .EWER f'I::.R))J.Ixhxxx9hR3tN:p b b•k}l1t'xxilxj+:9+:xbvt9{*i(al
S CONSTRUCTION PHONE:::: 509 926 8964
STREET= 11817 i:: ::At...L..E;: �WA"�tY AVE::
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION • QUANTITY FEE AMOUNT
I'`f (. CE::S S I NG•FEE:: :f 10.00
SEWER CONNECTION i 40.00
x •x• x :,r.• •u.• x .. •)t• x x •h• ....... x x x . x x x •)r x 3,:• x) y+: •b: a+: x f t 7 Y'M E t`•1.1 SUMMARY •)3)(.....b: •it• •h:• it• * )i •b * * * a: •u• * * i+i :e .n..b: *
PAYMENT DATE RI=:cEIPT:H: PAYMENT AMOUNT
04/13/'90 17.40 50.00
TOTAL DUE= :.400 TOTAL.. PAID= 50.00
PERMIT TYPE FEE AMOUNT (MOUNT PAID AMOUNT OWING
•
JrWIti PERMIT J0.7� F{. ?) . 0 0
4 _:: 21541-1030
L50 50 ,00
I"'I%(:i(.:1::.S ED I:; T : JULIE ;1HA i rO
E'r;:l:ED BY: ,.JJ.JI....i.E:. SHATTO
SEWER ....uE AS—BUILT INFORMATION IS AVAILABLE ATTHE COUNTYUTILITIES DEPARTMENT 1ENT (45/.... h604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED c;AB1...Ei; (:;t:ti F:1:P:I:N.(;;, WATER LINES, FCT,
C;AL...i... BEFORE YO1.J DIc; (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INS(.JRE.
THAT THEY ARE CLEAR ANI) UNOBSTRUCTED TRR:l.J(:`TE::I) TO THE ,SEWER MAIN
•x x x •b:• x u.• * 7+: •tt CALL f - O R INSPECTION f'R:i:CJl TO COVER bi i+; •)r N: •)t• •u u• ii h: •i!
xxxyt•xxxx•)F '4 HOUR ry NOT'1:C1 REQUIRED x•ii•xx)t•7tJ'xxii
*•i.xxxxxxx 4.56••••3604 •)i•x N:•:>;.:n: x b: •b:••b:•.h:•
at• i6 x x x it is x x * x x * x ii * x ai •'r.• •)i• o+: x if N• 3}• if• li• N• )r it ii vt THANK Y` o I, i * it x it ii• ii• }i• x x x 3!• x K x ib * x •'r.• i}• ,i it• ii• ii• x ]E •)i •'tr x x •r.• )i• •b: i