1990, 05-15 Permit App: 90002092 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 istmo
/ and correct, and authorizeu kaCounty to proceedwux processing. In addition, I have reaand 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 violateor 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
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PROJECT NUMBER= 9O002092 DAT-= � /l 5 �' ' PAGE= 01 �
pPIC*Td
** *************************** APPLICATION ************************** ******
SITE STREET= 922 J VERCLER RD PARCEL4= 2254 -1711 �
ADDRESS= SPOKANE WA 99216
Y
PERMIT USE= SEW ... 19 CONNECTION - 88Oi �
*** SEE NOTE *** .
PLAT4= 0024i2 PLAT NAME= SOUTH COLLINS ADD
BLOCK= 3 LOT= ii ZONE= %FR DI%T4= F
AREA= OOOOOOOO F/A= F WIDTH= ii2 DEPTH= 149 R/W=
4 OF BiDc%= 4 DWELLINGS= i i'
OWNER= HOWELL� LEWIS PHONE= \
' STREET= 922 % vERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD - H & % PHONE NUMBER= ';09 926 8964 �
BUILDING SETBACKS : FRONT= NA LFFT= N41 RI�HT=• NA REAR= i‘.4A
************************* *** SEWER PERMIT ******************************
• 509 �26 8964
(:::1:3N"11;!ACTOR= H & S CON%TRUCTION PHONE=
• %TREET= il8i7 E Vf-41...LEYWAY AVE |
ADDRESS= SPOKANE WA 992O6
|
/
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----_-----
PROCESSING FEE y 10 .:001
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OLING
--------------- ------------- ------------ ----------
%EWER PERMIT 50.00 .00 5S .00
------------- ------------ -------------
5O.O0 .00 5C .00
�OCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%-� R STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
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1 CONTRACTOR OR APPLICANT IS TO FIELD LOCATE �, 7' ~'� -' `, ' '
ELEVATION AND PO%ITIGN OF %EWER %TUB PPIOF T- �'' ' -- — `
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8000)
%EWER %TUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **** *****
********* 24 HOUR N8TICE REQ .iI1E0 ***4C.*****
* ******* 4�o-3b,J-,,, **K* *****
** ***************************** THANK YOU **************** ***************��
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