1990, 04-02 Permit App: 90001236 SewerSPOKANE 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
, : . , ...:., ., ;.„ .? DATE= 04/02/90 PAGE=
APPLICATION
r: * * n:.; .c * it i'r •i{• •i. •i. •;i ai.:ar. i,..}i..}i. iG * •r: •ii :* * 4 * •ii• •ii• (1 R P #... T t ` A , j i 1 t . * * fi ir* it -lr •1E N: ii• k• k• i it ai• •i{• di• * :v: * * * * * *
SITE STREET= 21 i!J i i i:l i) #... (t i.$ i*•i RD ::f1141:;; '27542-0727
ADDRESS= SPOKANE WA 992.16
PERMIT USE= SEWER CONNECTION . 0801
P}7 E11NOfE
9t.:?i. *
; : ,_ 001042 P"°NAME— OPPORTUNITY TERRACE iET ADD
,? _
MOCK= :; LOT= 17 :ZONE= Stii DIST...
OWNER= NORTH, DONALD PHONE= 509 924 2162
STREET= iJti1 i ui(a('lT:?#._r WN RD
•1)F: ..
SPOKANE 99216
...,, ttt:(T ;AME.' DONNA
ONA ( (tf:""3N#Pi
fiJi:NUMBER= :::; ?4
L;:,..r:.eTr.t. FRONT= N"LEFT= �:-T.,
REAR= N r.':{
:ji..},, :j,..K.:P:• iE ii- * •ii ;i )z: 'P: R• •P: •)1• it :•:: r .;t. ;:.•:: a .. * .r •n•.c •P: ->u• SEWER R I':: (i t'i :#; ' i .}t..Jt..N..x..x. ,,i..i. * * -i:: a>: $: * ::• •i; •it• * •i: -ii• •'s:.: * * * * •ii . t• •.:• •Jr ;:
CONTRACTOR= (:::(:li..Jft'(:;E•#(7:I:NE:: CONSTRUCTION
STREET= I6402 E 'iAI...I...I:::Y'14Ae'
ADDRESS= V E::Fir•"'rD►•`•'r#...E:: WA 99037
ITEM DESCRIPTION ..JAN(I 1Y F FF:. AMOUNT
PROCESSING FEE.( 1 7;:} ,. 0 0
SEWER CONNECTION 1 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT T C:L.!1:I•NG
SEWER PERMIT f:'• 0
50,00 ,00 50,00
PHONE= 509 924 54a5
PROCESSED BY: JULIE SNA....I I O
PRINTED :o 'Y` : :.i 1. #....I. t:. EHATTO
EEWER STUB AE —BUILT INFORMATION TE t u r.« :i• I .. r•a .1a I . F.. AT
.T. .T•'r r is •:iii i':; i .
UTILITIES DEPARTMENT (4);;.;...7604)
CONTRACTOR OR APPLICANT TE TO F..:tE:I...Ti LOCATE AND (.:;(:;i'..;i::
• y
Ti
EXCAVATION
TO LOCATE BURIED .:rtiFiL..i::. r , 1,. r.:, ,::• PIPING, WATER #....#.NF:.:::•
CALL BEFORE YOU DIG (45o 8000 )
i:::WE:i•. STUBS AREARE
. (' :t E: CHECKED D #'`E�;.#.i:. F' TO CONNECTION.. O
THAT THEY ARE(.:I...I::.AF AND UNOBSTRUCTED 'D T(:1 THE SEWER i-1 MAIN
ie ;t. * 7r•. * ii• ;,: •Jr.r CALL F (:l R INSPECTION PRIOR TO COVER •P::Q:* n:.},; .}>: k. x :R..}i.
: �tt ;;�:,4 HOUR
(tR % Ti__ REQUIRED K P. ; *
ii* fi*
•iF: * u: hi ii• # :Ji• * p: 456-3604
.. .. ..
.J,..�:•;:•1X-:!i'� .._, .i))Firic -r.•rx :rabx-r THANK Y01i.Riii.}.n..9....;.. if.A...'P...ji.
JOB ADDRESS : 6 , /47(a-1
SUBDIVISION: e.)" 'jp6 �� LOT: BLOCK:
OWNER: I CT 04 PHONE:
ADDRESS: �, n
CONTRACTOR: �( PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: