1990, 09-10 Permit App: 90004463 Sewer •
—` ^
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY-AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
) /oom�mat/have exammoom/opmmmannnouuon.mu�mmmo/nm,munonoonmmeu.nnand oubm/uouovmoonnv�enu000mnnooum»permit/application true
/ d correct, and authorize SkCounty to proceedwuh nmvesomo 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 ORAGENT DATE
P�OJECT N!IMBER= 9O(..)' ' ^ 7 DATF= 89/i 0/9O PAGE= Oi
HrPL�C�T�Ow
*************************** * APPLICATION *********************************
SITE STREET= 12i N SUNDERLAND RD PARCELO= 17543—i706
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — Ap7—i
*** .V71.7 NOTE ***
PLATO= 001835 PLAT NAME= OPP. TR. 1 -354
BLOCK= LOT= ZONE= MF% DI%T =
AREA= F/A= F WT0TH= 8c) DFPTH= i38 R/W= 50
� OF BLDi DWELLING%=
OWNER= L6IN,MAR6ORY A PHONE= 509 9;6 6RR8
STREET= 121 N %UNDERLAND RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEWIS — TOM %TONE PHONE NUMBER-,
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ************************* ***
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 92S 77i1
%TREET=
1112 N MAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEF AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10,00
SEWER CONNECTION 1 4/.:). 86
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT DWTNI:.
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 . 00 50.00
------------- ------------ -------------
50.00 .00 50 .00
PROCESSED BY : JULIE
PRINTED BY : JULIE %HATTO
SEWERUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNT;
UTI�ITIE� DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFI::::,
ELEVATION AND POSITION OF SEWER STUB PRIOR T�
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPINGWATER LINES, ECT
' ' ^
CALL BEFORE YOU DI� ( 451.3-8OOO)
IAER %T;BE ARE TO BECHFCKED PRIOR TO CONHECTION TO IN%URE
THAT THEY ARE �LEAR AND UNOB%TRUCTED TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456—:36O4 **********
* *** ************************** THANK YGU **** ****************************
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