1990, 04-16 Permit: 90001157 Sewer SPOKANE COUNTY DEPARTMENT dF 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 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,oras a warranty of conformance witn the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT N 11~II:tF'is?::: 90001157 •c'A..t..i...... , C.. .I}1. i PAGE= i
**3i %)i•*)i'),:)i')t-)t 9i•!i•.))i'*)t•)i•)i•)i•**Ji•*.p Ji•.))i. "Eii1 _ INFORMATION
NIitM. y1 ( ? *)i•)i-)k)k)6);.)i•)i-)>:*ii*h:)i•ii r.)i.*),.),.),.)j.ii•:rt ii.*:+,.
SITE I E:: S (RE_E:.'r- i 3`i 4 g VERC::1 1:'i:: 1
ADDRESS= ARCELO= 27542-0904
SPOKANE 99216
PERMIT: '1. (.J:`.;i::.:::: SEWER f:::fiNP'1E::c::-t':1:c:lN .... ;_{;:;,•..)i
•*fr SEE NOTE ;,:),:;;.
PLATO= 0''122.i.j PLAT NAME= I..I:E(...I...(:;Fi'E:::`:>'r PARK ADD
oiICLOI : 1...0T + 7.ONE= 7Y'I (
r . `.
AREA= ) 0 )i { ? ; Irh : IWIDTH= cG . DEPTH=: i " :; t-• • - r
OWNER= 1..I I.::N D E::Fi':.?'(:N VICKI STREET= 1814 g VERCLER p PHONE=
ADDRESS= z.'I:'1IK,ANF:: WA 992i ,
CONTACT NAt1II.::. l...EONARD, .... H tsw
BUILDING PHONE NUM''::'I:i=:: 509ty ,7ri� ;,.}ai
LEFT= NA RIGHT= NA REAR= NA
'i?+:)i••i+'• :•**ai•it••ii ii•i!:•it•-.ii'.'......i�:•.••)i ri•iii•it••iii*** .. tl :i= !
' ,..E:.( E..I I"'I::.I't:�).I..1. ...........*•P:)+:•}4•4'P:*Ji•)i•p•)!,•*•p:•1{:k:)¢*)l•*)i•
CONTRACTOR= H
& CONSTRUCTION
{
• F ` 509 9 8964
lSTREET= 11817 • i ^IiiYlfVIA ) )RE „t c ”r <hN1
WA 99206
ITEM DESCRIPTION
QUANTITY F E::E:: AMOUNT
PROCESSING is T::1::. ...............
SEWER CONNECTION 1 0: 00
, 00
*}f)i•jf**)i•)?::n:•bi.p.)?:%4-•A:)i)f,•)i')i•)i'Y:)i i+:A:•)i'•)i•i{)i-** )i• PAYMENT... ,., ..
P f Y i•1 E:.r'1 ( }I..)M M A R Tj X)t)i)t'a.)>)i•R.k.)i..i f),; *b:)i• .-*.tt._s;.j,:.p:),..x•)j:h:p it•
PAYMENT DATE RECEIPT:::
04/13/9() 1720
TOTAL DUE= .00 TOTAL. PAID::: 50. 00
PERMIT
.......TYPE
...... FEE AMOUNT AMOUNT F'A.IT) AMOUNT OWING
SEWER PERMIT 50.00 50.00 . 00
...
50., 00 ...' :i.. ..4`..1{.j
.00
PROCESSED BY : JULIE EHATT1)
PRINTED BY : J(.)i.....E: SHATTO
SEWER STUB AS....;AS—BUILT :INFORMATION is AVAILABLE rAT .THECOUNTY
UTILITIES I...I ( IES DEPAR Tt-IEN 11( (456-3604)
CONTRACTOR OR APPLICANT T I TO 1•:i:EL.D LOCATE AND CONFIRM THE
I:::I...E::VA'rIC)i•'i AND POSITION ITIt:tN (:iI E Wi=R STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE} BURIED CABLES , G A,`i.' PIPING, WATER LINES, ECT,
CAI...L.. BEFORE YOU I)IG 45i.S.._8000
SEWER STUBS ARE Ti) T':tE: CHECKED F`I: :FOI:i, Ti'' ; CONNECTION .
NSURE
THAT THEY TillARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
U.-*:b:-k•'h:)?:.k...n. CALL F Il R INSPECTION
I i . O I
O COVER PF*FN ) 1AAi• iie ) u ` + 1I )1 NOTICE i -sJ1F = i t ) PFkAJFA)) nit) ) ) tp456-3604 i
. THANK Y(.I!..i ),,:)i•)?:)i.)i•)i•)i•)i•*)?:)i•) )i•)i-)i•i+:Yi•)t)..)i•}t-*);•ii•)i•)i•ri•*r:••ii•:a•r:•h: