1990, 03-23 Permit: 90000848 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 con'plied 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= 90000848 — —
********************K*******
PERM.I. l .I.N F±. ±%f 1{•1 :L •••i ************0***************
SITE SIR t, .... 1206 ` }q.:.!'C L.•L..1::.:°•'. t.j I"'A t,t f.:,E L ._.. 2754.:?.-0903
ADDRESS= SPOKANE WA 99216
Et'i:I'?.I. ! I„t1 t::.-:: SEWER CONNECTION .... 8801
J?A'H• t E NOTE ***PLATO= 001220
'-'_LAT ±"1 ± +''±::�C:...,..r• PARK,
AREA== {;J000000 0 I::'/ :±:::: WIDTH=I t:::: ;_JE •• • •t 3 j•,.';` t ::
... aN L .» :EBS ± • , JAMES
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PHONE=
IOiE: , . r 2-24 ;%5`
' i 'IET= iyfC ' VERCLER ?D
ADDRESS=
;Ft.li+:.,.i'iE $r:± 99216
CONTACT
ON '( fNAME: LEONARD . H. &
:,i , 509 926 8964
BUILDING 'IEL ± ' FRONT= ,rLEFT=: NA RIGHT= NA REAR= NA
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...?J?1=:'J+:'1�:.J.).J°.:-.}.J.J!:.J;. i. }.r°.1...J.J?J. ,:'{:..Ir:l l�:.l:t' I::,t•I'i I"t i J.e?/?J?).}.J.1.J•...:. r.:}. " +::U:;+: 'Jy::il;_4:A-ii.• ::,• 1:
t:i {TRACTOR= H x : "Lt ;..I.,ONE= 5i9 yi: - 8964
• STREET= 11817 I::: V A 1...1...i Y I.0 A' AVE
• ADDl•'.E::SS:.. SPOKANE WA 99206
-ITEMFEE AMOINT
PROCESSING F:EE1 +):.t:0
SEWER CONNECTION .i = , 00
******************** -- 1 ± ; j' F N T S U H H A P Y *•.'jk'j+:........j$.K P.F.}Pr i{• +i)+r*:h:.j+.*j+..P..},..Pj.yC*•jr:syr
1r '1J i” • ,... R" "L E : T 4 PAYMENT AMOUNT
03/23/90 1289 :it:jP: t',jtj
TOTAL.± L:L t,t1-;,= .00 0 I O I AL_ PAID= 50.00
PERMIT TYPE FEE AMOUNT ,' 1J t PAID AMOUNT O' i.('.Ez
SEWER PERMIT 50 .00 50.00 ..00
50.00 50.00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
:.:EWEI'=.'. STUB AS—BUILT INFORMATION TS ..:..
.:.i J ±„t r: 1 .I :.• AVAILABLE t••± I , r. ... l.:[.,'t i. I�f i
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO' FIELD LOCATE ANDC N : :1'I...jM ..i. ..
ELEVATION AND POSITION f:1:OiN OFSEWERSTUB 1='I'•'.:I:[IImo, TO ANY 'OTHER
EXCAVATION
TQ LOCATE I:.. :tUR Il::.j_1 CABLES, GAS PIPING , WATER LINES,Ni . ,
':. 'T .
CALL BEFORE Y1, DIG :413. 8000J
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION
THEY - ARE CLEAR UNOBSTRUCTED t _` NIi _ : 9r TO
I
NSiti
THAT = ` Tf' THE SEWER ' ; i
),..'i?'7+:.p:.P:•P:•1C•Jk* CALL I”l t I'4 .I:N a F'E::f:..l..I:i:i N PRIOR TO COVER *'R'#fl:3k '•'r:ia•.}:at:
ik 9::?•?t 9:H•4:9`:i 24 HOUR NOTICE REQUIRED q:.,.: i+'.•* :ha•lk iti•
t P 4 3 •I+r :.il, ;t•. 456-3604 llihiH'.IriM•iPi*•ili•jli
***m**************************** THANK ,t t ****************************** Y*
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