1990, 03-29 Permit App: 90001157 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 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
PROJECT J I ": 90001157 DATE= 03/29/90
PAGE=
APPLICATION
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SITE wt. , . 1814 : VERCLER
" I =f !t # ti - 27542-0904
OKANE WA 99216
PERMIT l.?,::t::= SEWER !.:f.(rel-jt: tj'•} .... 8801
3t•3t•3L ;}�i::.#::.. NOTE 1t•Jfi)k
PLATO= 001220 PLAT NAME= H.#.#...#...C#'{I::. T PARK ADD
BLOCK= .......
AREA= :jt:at.;i:it:;'•:?l::t{.• I:: r;: WIDTH=. I.,.... .i: .
OF BLDGE- ! :i: DWELLINGS=
OWNER= #..t :.t•`�.f.li::.F4,':•l:N VICKI
<:: #.:HO:wE
STREET= 1814 \•'t::.ht.:I...F:.R ':T
t ti: 2
ADDRESS= SPOKANE ?��::.'1 ,^j
CONTACT A e t'' AM::.= LEONARD .... PHONE NUMBER= r} 926 {{Y 4
BUILDING SETBACKS : FRONT= NA L:.F::#=..I= Nid RIGHT=± NA REAR=
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,.. (. . t::. (= 11817 F i.A I...I...I::.•z`I.::I(:.F•pr. AVE
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ADDREEE= SPOKANE WA 99206
ITEM t"t .ui..:,`i,f h :I:I_(•If:;i`N QUANTITY E i:',M I:::t%.!i'.i....
PROCESSING FEE 10,00
SEWER CONNECTION 40.00
PERMIT TYPE "I::.t::. AMOUNT AMOUNT PAID Ai"iOi_1N I
St::WER. PERMIT 50.00 00 50
, 00
•
PROCESSED BY : JULIE SHATTO
PRINTED .:t'i : :.! I#. #.I::. :;#"i I•{ I I i.i
SEWERSTUB AS—BUILT IM A i ` AVAILABLE fT • .E COUNT
,t i .I.t..."'TIES 1'I I::.t'`f.:j F!: I t t::.tw•.4 I 456-3604 :!
,•T i:jl;: OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION! ! fiI I !tri t!IN..r I::i..l: Ftif,1N Iii E#:::#t#:::F': ..• it,)3:' PRIOR ii„ ANY i±..I ±it. t•!.
EXCAVATION
; LOCATE BURIED i . . i - ' PIPING,
. ` ! ` s WATER
L .
J) ' ECT.
: A# # BEFORE OfDIG ( 45 ,-2tij)
SEWER
eW_ t STUBS 1 R C .c9A CHECKED
'; :cKED rFI ± : TO
CONNECTION
( } Ii: :
iO4 t INSURE
THEY R . CLEAR 3N: UNOBSTRUCTED ft (I ' } . ` f :
?t } Yb91PiCALL FOR INSPECTION PRIOR IOCOVER
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3t r•3!•3k 3i•3?•3?•3i•3t-
24 HOUR rrNO:f•r.l:f::E::: REQUIRED 3 3t•3i'3.3;.3.:P.3 3i•3;:
456-3604 3i 3i•:n:`,:A•!;: E 3;:•i+..'a:
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