1990, 03-26 Permit App: 90001087 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
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
.,,,sji::')"'•'' NUMBER= 9000107 .`'iATE.. 03/26/90 PAGE= f:il
APPLICATION
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JS r. {•��`+ ,._�.'..:i"1 .i.....- ..,.J.,.).). j.
SITE STREET=
i' f i = }' li tN ` i SUNDERLAND 1'!'#, ! 17543-1014
,
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ADDRESS='.:1#':#::..:::::. - ,.. . Oi;•.ANE WA :i'S. 206
',ISE= SEWER CONNECTION — A87-1
ii:•i i:"' .:;E.I" NOTE •)**
PLATO= 001e35 PLAT NAME= OPP.TR.
1-: ::;;7 LOT=LOT= ZONE=ZONE= !
54
BLOCK= D'i: `: :::::: �...
DEPTH =AREA= 0004.100 10 F /A-:: #- WIDTH= c.! # ,aF::I'''r#-i:::: y-: I''/W=
OWNER=:: F":I:T'R GE:.RAI._D J ,.f):' PHONE= 509 :.,•;, 421.4
r,! .
ADDRESS= SPOKANE WA 99206
ZONTACT
AME::::: _•" ; .. i::::c PHONE i JF:: i•J1,ji B iEFi:'• 509244 .`61,�r
BUILDING SETBACKS : FRONT= NA I...E"h T= • iN.A RIGHT= NA REAR= NA
*ii•iii•k k•ii•fii ii:ia'ii;.p:ii ik**iai*''n.'i!'r-ik•*•i}i*•i4•i!:i!:•n:i¢* SEWER PERMIT ,:.:. .,.. :. :.:,::; is'�:••ik•',i::J:i:::::..: Ai•�}ii::',+:,:is
CONTRACTOR= V..1.#'. # :,i•.(::. EXCAVATING PHONE= 509':r' :=r.!p 9607
STREET= 20i1 S CRAIG RD
ADDRESS= MEDICAL LAKE WA 99022
ITEM DESCRIPTION QUANTITY .EEAMOUNT
... Er. .,.,..... .:_.:„•.E FEE AMOUNT AMOUNT PAID AMOUNT OWING
EEWER PERMIT SO.00 S0.00
50. 00 .00 50.00
PROCESSED :l.. : STEVE If li x i<,
PRINTED _;i t : STEVE l i O...T 4.
SEWER i irJ INFORMATION AVAILABLE AT THE E t.:..it.. f
UTILITIES ....'i'+ ra'a
.. (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE E AiND CONFIRM THE
ELEVATION AND POSITION OI- SEWER STUB PRIOR S ii TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, ".3 Cl,.T PIPING, WATER ECT,
• CAI...L BEFORE ORE OU DIG (456-8000)
,': :.}f , ETUDE t�i, ..,••, TO "t:;i::. CHECKED�.,... � (ii�;` 't'('1 CONNECTION d 1 i i...,l...
i• ,�e:I•. T ..1:..,.. r••t I•,3::: .. ... -I r.:t::i I::.!. 1�'I�k 1: t:' t i+t fid N�:t:y'T'1: . r: '�',”;:i :i'4;: i•,
THAT# # I•,E f ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
.., n a >, r ) CALL #••i.i I•'•. INSPECTION ERI...';. TO COVER :4 b:is i{•*i:.i,..a.•tz•h;
s:s:::''.• )?:- N: 24 HOUR NOTICE
t (• — _lIi. :I.I.I D if it ii'ii it i?•is w' i::
k j } yt} *i * 456-3604
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