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1989, 08-16 Permit App: 89002854 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 and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included h / and agree to com / nx same.All provisions of laws and ordinances governing this tof work willuovnm lied with whethero m d herein or not.I understand that the issuance of this permit and any subsequen inspection approvals or Certificateof Occupancy shall not be constred to give authoritym.m/atno,vunvo/moym./x/v"xvfunvmatov,mva//uwmuv/m/nn construction,or as a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT oATs PROJECT NUMBER= 89002854 DATE= 08/1 �/89 PAGE= Oi APPLICATION ********************************* APPLICATION ***************4************** SITE STREET= 1722 % VERCLER RD PARCELt= 27542 -O902 ADDRESS= SPOKANE WA 99216 PERMIT USE= SEWER CONNECTION - 8801 *** SEE NOTE *** PLATt= 001220 PLAT NAME= HILLCRE%T PARK ADD BLOCK= i LOT= 2 ZONE= AG%UB DI%T4= F AREA= 0000O000 F/A= F WIDTH= 90 DEPTH= i50 R/W= 0 OF BLDG%= 4 DWELLINGS= i OWNER= MILLS, ARTHUR PHONE= 509 7947 STREET= 1722 % VERCLER RD ADDRESS= SPOKANE WA 992i6 CONTACT NAME= TOM STONE PHONE NUMBER= 509 928 7710 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= N � ***************************** SEWER PERMIT ****************************** CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 923 7710 STREET= 1112 N MAMER RD ADDRESS= SPOKANE WA 99216 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- ---------- PROCESSING FEE Y 10.00 SEWER CONNECTION i 4000 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING --------------- ------------- ------------ SEWER PERMIT PERMIT 50.00 .00 50. }0 ------------- ------------ 50.00 .00.00 50. }0 PROCESSED BY : JULIE %HATTO PRINTED BY : JULIE SHATTO SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CQNF [RM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY O7HER EXCAVATION TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, E �T. CALL BEFORE YOU DIG (456-8000) SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION T] INSURE THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE 'SEWER MAIN ********* CALL FOR INSPECTION PRIOR TO COVER ******»*** ********* 24 HOUR NOTICE REQUIRED ********** ******** 456-3604 ********** ******************************** THANK YOU ********************************* LeJOB ADDRESS: £ itL��"'-- -/ ) SUBDIVISION: (J / l 6`-- a— O Oc LOT : Q-- BLOCK: , �'��l t te, � L.1/( / S PHONE: c r- OWNER: A_ffI� r? cL7 ADDRESS: CONTRACTOR: -.1--i / - S-1-griu2-, PHONE: Off- " 1 v ADDRESS: / 1 1 (0a q D-( '„ LICENSE #: -To INSPECTION DATE: ( / v J TYPE OF OCCUPANCY: