1990, 07-24 Permit App: 90003494 Sewer SPOKANE COUNTY DEPARTN&NT 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 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 NUMBER= 90003494 DATE= 07/2.4/90 I`:AC;F = 01
APPLICATION
****************************** APPLICATION *********************************
S]:TE:: STREET= 30i N SKIPWORTH RD PARCEL.. := 16543-0316
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- B87-1
*** SEE NOTE ***
PLATA:=: 001054 PLAT NAME-: OPPORTUNITY PLAT 3
BLOCK= LOT= ZONE= f3i:.SUB T;:I:ST„=
AREA= 00000000 F':`r=3'- F WIDTH= DEPTH= R/W_:
OF BLDGS= ": DWELLINGS= i
OWNER= PAFiRI1..l..., ROBERT
PHONE:: 509 926O4'
STREET= 301 N SK IPWORTH RD
ADDRESS= SPOKANE. WA 99206
CONTACT NAME: CAROL . TOM STONE PHONENUMBER= 509 9yC7710
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT::- NA REAR:::: NA
•*•*•*********3t**************** SEWER PERMIT *****************•*•******m:*•****
CONTRACTOR= TOM STONE EXCAVATING PHONE:::: 509 928 7711
STREET= iii _:? N MAMF:.F+: RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i .40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT " � .{ ( .00 ? J. 00
5 5._t..00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIES) CABLES, GAS PIPING, WATER I..i:NES, ECT .:
CAL.I_. BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CAI...I... FOR INSPECTION PRIOR TO COVER *.A********
********* 24 HOUR NOTICE REQUIRED **********
********* 456--3604 *********.A
******************************** THANK YOU ***********************•**********
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FOR
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AREA CODE NUMBER EXTENSION
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