1990, 05-16 Permit App: 90002104 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,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= 90002104 • Ya.. .. ;;j . i;;+l_'y i:r.
.i.t~' E"t••i
... ................... ..... ,.. I,», _....:•.,
.,'. {.:,...:.+.:,!..'"}t•g?•;�?•9?•9?•:+:;!• f�'•.f'f�+i i�l•1•ii•) t.j}..f:7:is•!.9r {,1'V if!•Jf if?{•M•i$9+i)i•tf ik.:!f.,+;.ji..;+..j}.j(..i?•:�f•1f•jf 7i-ii•Jf iR•!?"??•1f•if�••jf if f
..� 1 � J J � tt� � t �'t'}'r t1 E"E••i.».�t.:t`•1 .E.' #
SITE S ! E'°:4::.t::.T«.: .:.!.••< :.i: N SUNDERLAND:L..f•�ifN11 ?•;t; l.:F:;i;#..,E':.l._:,p:�: 17543....i ..
fJi:l.%.i NE::.�:r ::: E::kjtc1ir'i1::. uaf'i ,''I`::?+'r:=
CONNECTIONPERMIT USE= SEWER
,...1••i t t».. 001835 PLAT NAME :. f'P, i i't` t
ti= LOT= LONE= Ill, .: 1%.t.,:; i SEE:::::
AREA= 000000 00 s /A=I WIDTH= $ t DEPTH= ! i_ qi :
•v OF 1:S t....l.!la:3.... .,,- DWELLINGS=
::.. ,
•
OWNER= TEAL, !"#i••±i°, + i A +,.:
STREET= ' h.:.l: N Si.?N1iERL.Att1! P1
• ADDRESS= SPOKANE WA 99206
CONTACT NAME= • "..'i i N A f i .... . PHONE NUMBER= 509 9 . ....... 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT=::: NA REAR= NA
a}...::._.:;.::.:•.y.:-::::,;.::".:�.:,;.:,::;:::a::,::,, :+!::,(.:::,:::::.�;.:,::;. .. ,..,.• r•,. v:.i.T .j;..j;..jf:JL•*!•: ,t;..K"jar **}y:N•"jY*•Ni*•ji•a:*:Jk;+i.j,r 7!..ji..ji..j;r
:.:t.j.J.l'.:t 9.)+.J?:.a. F, ..f.1.p..t J. .. .. :. ..;..,._
..i+.1.J?1?:.1.t. ,.:t...Ih?:...,+. !''t::.t";t. .. +
CONTRACTOR= i••t• ,:v .':; CONSTRUCTION PHONE= 509 y'>! -?':.._", 8964
• ADDRESS=•• . A NE W(:g 99206
ITEM 1?1::. )t.:R ; ,.=..,t-, QUANTITY FEE AMOUNT
PROCESSING FEE
00
SEWER.yE WER r""r;' ;JEc:.....r,_,�. -
,.;....t:+.:.#': ,.:...i'Et.t.. + .i.'t.?l•t :, .t`y(:j
PERMIT TYPE tAMOUNT FMOPAID AMOUNT
OWING
SEWER PERMIT
50,00 - 50
, 00
9t•ak:_:-t-:c 1!"!t•$+::+i-•!:•::•)t•1?•]k:4.9;•;u;;,?•gr}+ft Jt 1t}t F.1, -.:...u..+;.:`•.9 t.t2.3+..1!':F!' .}.:•.R*......J...!... !.
SITE t .t. . . TOPIC = GENERAL DEPT iJ.#.
NG
4t•]_:::"9;7?"1?":+!•9?"H:9t••t?•9k•R R j!7t._.:1.t•.J•.!tri!?•if){•;ii• (..,.,•../t•t le-le•)(.y,.*.+i..j,.*.2...7{•)-ti 9(.*Ji.}l..jt•i+t•J{•t+:"•j'i i.j...j..3i-1:-I+t?+i*•j.1.,+........... ...... ....:.....1t 7.
SITE €-±+...::;O INCLUDES NORTH r!n....,`,4 SUNDERLAND RD
PRINTED B`{ : ._I U E...1:E::: . .•E;a••r•T 1.:
AS—BUILT INFORMATION Is AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
THE
i.?t`. (•!'t'.:"+... i.a.:e";t'H 2 .#.,.; }�. .E. ,...�,.' LOCATE f'"Z V{.) CONFIRM.
E...L E...t . . ...i. N AND E' OSI i .I.i.N O SEWER ,.'.• # i..lB PRIOR O ANY +. '°:
EXCAVATION
J LOCATE BURIED CABLE ,` GAS PIPING, WATER R a
SEWER STUBS i_J1:t,`; ARt::. TO E CHECKED PRIOR TO CONNECTION NNEt..:TION + O INSURE
THAT THEY f't i"t E: ' ,...E."f"A t"; f i F'E i UNOBSTRUCTED , THE 1::. •:.,i.»t:,iE-.E'=: MAIN
"Jt"•?i"•jrki*:f f:i* CALL FOR INSPECTION N {••R1:i::tEt tt.? COVER •re :•Jrx***•ri*•jt:
24 E„E t:11_I t; NOTICE r E"l k U:E:E?E=is i i :[ ?":,}::+f ft:if::s.j;.:,.:
*:f'jf},i* f;f** :y5,...... `::+4 j;..;,..ji'ri++r:+f* H•**
?_.:, .:!t•h:i!:,!:-.:.**!.!?h Jc:!Jt!,!t:::+.!!}{P.•7f•1t•4!"4?•1+;9}•}i• THANK `f O 1,.? :+,.j(.;,£•"iE..jt..;f.j:•ii••j?":if if;,i-ji•;ti;-?f'ti••jf•1f f:!?.-'}t-:+i•9f ji..jt j{.k.1:..:(.:+;.:,;.:;(..j'.•
•