1990, 08-30 Permit App: 90004303 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROjECT NUMBER= .•,
03 DATE= 08/30/90 PAGE= Oi
APPLICATION
µ . ;* j; jijk s . * s 3 ; **: ] fi : : jAAPPLICATION
PP1 -CaTIOrtii-i!:it. j.it•i!:*.};.Jj..ii•ij' r•i•ii••}Eii•i}::!i-:i•r•ij•)4.fe.}j.R.** *
SITE i fC1::.:::. ! .... .1604 ;} ..if:!..t.i..t l...i••iI„Ir`% 1.t+ - ! ,t ;i..! .R:t.. 4y` ..,i�..
Af)IiR1::.,::•::}:::: SPOKANE ':•I/' 99216
PERM x. t t..?S E-- SEWER f.:i..?N N F::s..: ! .;.:.I:, .... 880,
tj•ij.s. NOTE i!i ij*
PLATO= 0.i t � ! , `i i ,?; " _= ?; "Ii % a'I_i.:r _i•3'j�t ; 'i( E HPD
BLOCK= 8 i ZONE= i.::ia !:; � .!. tT ..:::
�'.!":....f-f .. .. `•'./'A:::: F. i•J IDTH= 90 D1:_.' i••!.-: 150 S,•;!ixt=
4 (::tF. t'. tti, Ste•' 'y DWELLINGS= .;
OWNER= HI„i•1 ,.:t i.?N PHONE=
•S t R t:E (= 1604 tkt O O?_y I...(•',W 1 RD
ADDRESS= SPOKANE WA 99216
CONTACT
, .h ( ar "( = j_ " : & VPHONE
NUMBER= 509 9: 3 6182
BUILDING '! ! ? x : FRONT=
!'d i-'! LEFT= NA RIGHT= NA REAR= A
fiPti ik i 9H997j P3Aik ki i:Pi i ; i j! n SEWER F PI!
9s:it•'7h•!l•s::}.'7k P:iry.'ik•P•is:•.',••R•R•iG:ryr;ry..}yi:}:.}f.:Pi 3k..P:'!t.•:n:in::!i•li.•3!:
. CONTRACTOR i.ii H 6 v ('ON i +»,I' Ci i i: :::: 509 8'2
i':i's„`ri.'R't::.::i:,`:.. si: OKAf'):. WA 99206
•
ITEM.::M i}r:.,::f.;R.!.t t .t.ON !:!I.I±::N f'.i r Y FEE AMOUNT
PROCEEEING FEE -10.00
:. :.::
SEWER CONNECTION ± �s i?; t:1?;t
PERMIT TYPE F”3::.,::. AMOUNT AMOUNT !•'!I D A e`s;_i!,.?N I OWING
SEWER PERMIT 50.00 .00 50.00
50.00 .,i:}4? 50 ,00
•
PROCESSED BY : :.?I.?I...;.I::. SHATTO
PRINTED .i:{•Y' : JULIE f:1......i.i.?
SEWER c' i HB AS—BUILT INFORMATION IE f{'v'`AI.....ABi...;::. A... ...i.IL:' COUNTY
UTILITIES DEPARTMENT (456-3604)CONTRACTOR OR APPLICANT ; FIELD LOCHTE AND CONFIRM ('HE
ELEVATION AND POSITION OF t” ,:'.•t::.4.it.:.I, STUB I_`I'!..t.(.lI s TO A N Y OTHER
EXCAVATION
• O LOCATE BURIED CABLES, F.v A; PIPING, WATER
; !.. I::' Tt
. CALL BEFORE Y I,t t„U D j.i.t r (456-8000)
!E,...I,I,. rs STUBS!- B ARE TO BE CHECKED PRIOR CONNECTION
THAT , I'V E:.Y ("!!"L.E CLEAR t'•i N D UNOBSTRUCTED TO THE... :`I-:IA
iiG ini4 ( n .Ii...L. - FOR INSPECTION-
. . ` : [ N- PRIOR
+If :
O
COVER iPPP*PuRF t
**ieisii : : 24 HOUR NOTICE REQUIRED
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'''''''''''''''a: 456-3604
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* : ss . jis * ssss * sjs :sj..a.j..: : **i esTHANK
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