1989, 09-13 Permit App: 89003352 Sewer - /
�0UMRTK8ENT (]F BUO\N{� ��Ny SAFETY
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BROADWAY AVENUE
W. 1on� �nu u
SPOKANE, WASHINGTON 99260
(509) 456-3675d submitted by me or my agent to compile permit�, vrmcmm* /"
saidu
I certify that I have examined this permit and state that the Information containred in
UIREMENTS/NO E itroavnislons included herein and dpeee to comply with same.All provisions of lawnst
.� unm 3T�/i*«°mca�-�g"*"«n—e �`
construction. —r as- a warranty of conformance with the provisions 0 any sle
APPLICATION
SIGNATURE OF DATE
OWNER OR AGENT
PROJECT NUMBER= 89003352 DATE= 09/13/89 PAGE= Oi
APPLICA-ION
* ***************** ************* APPLICATION ******************************
SITE STREET= 1615 % VERCLER RD PARCELO= 27542-0440
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATt= 00i842 PLAT NAME= OPPORTUNITY TERRACE 1ST ADD
BLOCK= 9 LOT= 5 ZONE= AG%UB DISTt= F
AREA= 00000000 F/A= F WIDTH= 129 DEPTH= R/W=
4 OF BLDG%= 0 DWELLINGS= i
OWNER= RAFFLEY , TOM PHONE= 509 924 5706
STREET= 1615 % VERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TOM STONE PHONE NUMBER= 509 928 7710
BUILDING SETBACKS : FRONT= NA LEFT= NA RICHT= NA REAR� NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 920 7710
STREET= iii2 N MAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------------- ............................... -------- --------
PROCE%%ING FEE 10 ,. 00
SEWER CONNECTION i 40 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT WINQ
--------------- ------------- ------------ --------. ---
%EWER PERMIT 50.00 .00 !: O...
OO
------------ ------------ -------------
�
50.00 .00 5O. 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT iHE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO AWY,ICOTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINESECT.
CALL BEFORE YOU DIG (456-8000)
! �
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECT:UM- TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWEF MPIN
********* CALL FOR INSPECTION PRIOR TO COVER ***' * ***
********* 24 HOUR NOTICE REQUIRED ***`'* ***
********* 456-3604 **K, ** :KKK
******************************** THANK YOU *************** * **************
^ �
10,
JOB ADDRESS: /V 5 V-C-,-R
SUBDIVISION: ` C o LOT : BLOCK:
�"' teAPHONE: Q2Jf - 510(7
OWNER: / � F��
ADDRESS:
CONTRACTOR: 1
/CSTCUS PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE: L //e/gg
TYPE OF OCCUPANCY: ���J�r 7`/O U