1990, 03-12 Permit App: 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 corr 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 Iii•i B.. ... rr}0 0,: . . D 0:3/ AGE= o i
APPLICATION
:;.:{.:j..};.**.}i.:,}::,:::.:,}.:,r.**:,{..ii•N.*:,'•a,::!:.},::,{.:,{.:'.:,r.:(.:!..},:* " ::'' .. ,.•....O i•` *K**** * ************************
SITE STREET= -1806 �! ``o'i":I' .,L..I:'.i", T 1 I"'('�I'!.�"i"•i_.•e,.:.. 27542-0903
ADDRESS= SPOKANE 99216
PERMIT USE= SEWER CONNECTION — 0201
*v?' ?' SEE NOTE E *..jt.*
PLATO=
[ _ "_ ?t1 ; ' : PLAT NAME= HILLCREET fi < f ?
T
L(:1..f.:::: 3 ."#:1Ni:'::::: fi(s,`?i.I:ls DIET4= is
:.. ... a-, DWELLINGS-
OWNER=
r: ,... , .. ...
0 OF
!{i f" i Ips:•t.?t'•< : JAMES PHONE= 509 924 -",50
STREET= "I O u a ;:° 'i:-R#.::i...r".is R
ADDRESS= SPOKANE WA 99216
CONTACT NAME- _.. ;.I. ,.:< PHONE NUMBER=
; : Y 926 09: 4
BUILDING SETBACKS : FRONT= JA LEFT= N" RIGHT= NA 'EAR: Ni
:•,:...
*4*************************** :::#::.ih}i::.i'!. i"#::.R#"#.i.T ':......................j.},:i!(.al'Pi'}.••Pi•},r*i!si:`.:'ti'}'.�•}!i i!�i'j(7¢
CONTRACTOR= iS CONSTRUCTION t'`„t..Pd.:.:::: 509
.. .. 926
6:
STREET= 11817 : k 'LI. i ' J xAVE
ADDRESS= SPOKANE WA
99206
ITEM DESCRIPTION QUANTITY FEE AM Oki N
Fe'ROC :,`w,. IN(,: i:[::[. }, 10 ,00
SEWER CONNECTION 'i 40 ,00
PERMIT i # fi:::E ELL L Af1C:#i..lN T AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50 ,00
•
50,00 00 50 .00
PROCESSED SHATTO
PRINTED NT•[::C? BYJUt..1: :: ,`.'.I..IFir•TTO
SEWER STUB AS-„BUILT INFORMATION .I:,: AVAILABLE AT THE COUNTY
E,.: DEPARTMENT (456-3604
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE T•[:: ANr CONFIRM THE
ELEVATION : D POSITION _ SEWER !UBPRIOR TO ( r OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING,(•; W TEI•'. LINES, ECT.
CALL t{• 1._#i,' ' YOU DIG (456-8000)
BEFORE
SEWER STUBS ;•a R,::: TO i A:,1::: CHECKED PRIOR TO CONNECTION # t.1 INSURE
THAT ..(.?••i `'f` ARE CLEAR ANI? UNOBSTRUCTED D TOIHE SEWERIn rN
'P:**•:k**-}r:3?'ir: CALL !”#t I'''. INSPECTION PRIOR.I.(:1 I's: •T•i:l COVER(.1 A`I^:I•!` �%!:'h:h:•�A:9>:'ik'P::�::!` !:
'K•fir i'::*i.)}'i�:i' 24 HOUR i,i f ..
_ .....
.R..}f..}¢.p.:A.:%!.:%!.:%,.* 456-360 #. :}f,•i,i,•i.• )(jy..:r;}{,•y.;..;(.
THANK
:.•. •.0 i .. ........
Ti)4§�.�?•7k j`•!?•Ji•ik}!•4r•)r•9`•7`i N���'��'7t•!l 9L�1`i hi_,�..}(.:%a..}{.:%,.:%,.:%},jt..n.j!: # I"i i'i��#'•, '( t..#i,: .p;.}:..}y i!G 4L..�,•..%?..%,; i..,;.*:k.1>..i,i-}i..}e;;,c:i,;"i'7}'iy'rJt.)5..k.!.. .. .
JOB ADDRESS:
SUBDIVISION: L/ - ac LOT : BLOCK:
7 ei-Y2-7 PHONE:
ADDRESS:
CONTRACTOR: r^ - PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
7.3
TYPE OF OCCUPANCY: