1990, 03-05 Permit App: 90000733 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W.1303 i3ROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the informatiU 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 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 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
C
.. 'NUMBER= r: PAGE—. 1
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t'tP'PL..1:CA'i'1: iN
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SITE STREET= r..r•.:: E VERCLER RD is t':;i;.1-:t::'i 11..... 27542-1325
ADDRESS= SPOKANE WA 99216
PERMIT i..iv'6{:::'" SEWER CONNECTION .... 880
i"'i...i•., i 0:::: 001944 PLAT NAME= OPPORTUNITY TERRACE ,:}{'+'..11 A!3 i,:
BLOCK= 4 LOT= 7 ZONE= n(. U 1:t f:I E T:;;:::::
AREA= :?,?:?'i(,j.:jCi i F_•'r•"t-:: i.: WIDTH= 1 '.;9 DEPTH= 136 f�:.'id
`l i'S
1. O.. T:tt Y':I:;{ = ° DWELLINGS=
, .... '1
OWNER= ::>WJ:t•.NI:::'t •.it°•;i•.i.:.S _ I .I...1` .... ... .. .
924 9702
:
CONTACT NAME= LEONARD I
• PHONE j; NUMBER=
{ { 509 926 9964
BUILDING SETBACKS : FRONT= I : LEFT= NA RIGHT= AREAR= NA
si ) iii : : : L* ?: (A*ril1 n*5pN iN: ApSEWER 'EEefY hf t **v ** t) :i *9 ; R ..1?.! x ?iu RuRri •rin }
CONTRACTOR= i..i 'yE CONSTRUCTION PHONE=ONi::.:::: !fs ?i"'....... 8964
STREET= 11917 i::. G'tai I...I...t:: `!Ir:i t~'t'i t`!!i i::.
ADDREES= SPOKANEWA 99206
ITEM
DESCRIPTION........................__........ QUA#'j.E.:�._#...._.. i..'EL AMOUNT
is f;;i.}i..•;:. ,.1:i':iT" i:: .
CONNECTIONSEWER .I 40.00
PERMIT TYPE F E : AMOUNT ,ritiT PAID AMOUNT OWING
SEWER PERMIT 50.00 ;_!.'} 50 .00
50.00 .00 50.00
PROCESSED BY : :.IL1....(F.: SEit^'i.T.Tfl
PRINTED BY ..ii.ft.i:E.: Si"ATTO
SEWER ..,...,iT:r •'.....i.UIL...' i {t::'i:.•f•'' t'•ii,iit.1 :rs AVAI.t...f�lBLE ATTHE :'tint.....:
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT f I : TO FIELD I...00ATE:. AND CONFIRM "i-i..Ii::'
ELEVATION ,..i t':<<: POSITION OF SEWER STUB
EXCAVATION
TO LOCATE tt [ iff ` +rLr
E, tFPIPING , " Ei LINES, ECT.
c::AI...I... BEFORE YOU DIG (•456....8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY A R i.
CLEAR
AND
UNOBSTRUCTED TO TE I i fJ=I MAIN
: ;hEhi ,� CALL FOR ti >PEi ; i ( N
PRIOR TO COVER ****v*****
9+:9!.M: r ; HOUR
NOTICE
RQi: -Ti3 } ! t) hni :
. 456-3604
*'7h--!f'}i}4••Ri 1==I'}=i =i l==i
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JOB ADDRESS: ` v v tiig
SUBDIVISION: ' 5 a'T ^ / 3 a,s LOT : BLOCK:
OWNER• .Lc)I 7PHONE: 9c4-41)
�p2
ADDRESS:
CONTRACTOR: 1i r PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: