1990, 05-15 Permit App: 90002075 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!`';BF::1:,° :: 90002075 DATE= . '
90
A1:; - CAT •r• r
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SITE
.,.TE ;.,..,.r.,,...,... 12315
3c: 1STAVEPARCEL4= 22542-0424
ADDRESS= SPOKANE WA.
PERMIT USE= SEWER CONNECTION — C86-2
SEE NOTE *.N.},.
:: s._.. :•.:•.r;:::,^;7 PLAT NAME= SI l::2x 6"•i i:;= E SUB„BLK , 164 OF npp.-
BLOCK= i. =,11 •- <'?:lN1::.:::: COMM ,',li.[:;'i•
AREA= 00000000 I /i::,::: F WIDTH:::: 100 i i)�::P•f l`• '{ ;'S _., •
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OF HF I)t:.S.... .y: t)t:yE L..!....#.!'dts:;....
t
• ST ' AVE
ADDRESS= :iO 'tN1 WA
99216
CONTACT NAME= jEFF — ALL SEASONS PHONE NUM'"7R= 509 922 4.135
BUILDING S{ BF : : ` : FRONT= N F :t
1 ; NA l^i {":.{.t!!{•'? { - REAR=
***********K***************** ` ' 1 : CPERMIT .... .-HayyuA .u * iiPAi * .P { i .
• CONTRACTOR= 1.}{...'s... SEASONS EXCAVATION PHONE=. .i
4135
:t # Rl::. :.•f•::.: PO it ' 1 .49e0
ADDRESS= .• r. LII;3 99214
'1' , C:','t DESCRIPTION QUANTITY I•E1:. AMOUNT
PROCESSING FEE 10, 00
}#.t:a{::.i' CONNECTION 40„+::ii,-!
PERMIT t { : FEE AMOUNT AMOUNT P
{ N_ AI; AMOUNT ix , j .
SEWER PERMIT
1 0(. .00 ° 0 ,00
50,00 ,00 50,00
PROCESSED SSEi,i .. . JULIE SHATTO
PRINTED BY : JULIE SHATTO
S....I .. .- I _-! .#.NFORMAT:I N .1.t' AVATI:...A :{{...I::- ATTHE COUNTY
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CONTRACTOR f " rPPl_..1CAy.... .... TO FIELD _trATEAND !aN F: R M . 1
ELEVATION
, ' at I _ N A Y ; POSITION O" SEWER - tB
PRIOR 1
# ANY OTHER IH _
EXCAVATION
'}••n ' ;..,E..; . ..f.E .B1! , eED CABLES, GAS PIPING, WATERLINES, ECT ,
• CAL.1... BEFORE YOU DIs;. (456-8000)
s FtC :T U B ± {{ TO BE CHECKED
# # t4, ) "RI .R i _ CONNECTION N
THAT { �•1#::.Y t t#•`:{::. CLEAR !••1��a? t.�,v t 3 t t } ! I' �}.1!:':},•1 �=.i .�..�.. �•}„�I". SEWER
Jii.iirRh :: CALL FOR INSPECTION 'RIOT .. ::' COVER *.h..h*•i.*•ii::::•?:
********:k .<`. HOUR': � .:. i .:. .. .:. REQUIRED t+
.. 456-3604 *******§**
:. : , r i *a K tiir t jv •) t; 1 ) . . ir* r**a ) THANK ',;.: ************ ********k:.***. . ....
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