Loading...
1990, 05-02 Permit App: 90001829 Sewer f SPOKANE COUNTY DEPARTMENT TOBUILDING 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 iti-i.M B E:.R- 90001829 . DATE= 0.>/() /9() PAGE= 01 -•h i4i i::'I:=i...:F.f A T .I.O N xr*t ; i* 7ti1 *sdi rt S : ; r**k* *xAPPLICATION. 1Pii* E: i i iiiirisiai :uhe i; fa : i yu SITE STREET= 12807 E SEMPO AVE 27542-1639 ADDRESS= SPOKANE WA 9921 •f: P E::R I"i:I: I USE= SEWER CONNECTION .... 0801 P• •• 00184.4 FLAT NAME— l..t•. ..t.!R . ...iw.. { '! TERRACE 3RD A D i,t e' OF BL..icy(:vC':::: 0 DWELLINGS= MILLER,, LEWIS PHONE= 509 928 NN STREET= 1280-r #::. SEMR0 AVE E ADDRESS= SPOKANE WA 99216 ,iNT'At.:i -:. :: ;..�: .. + ., ��;:�:t:... PHONE f�l.Ii' BER 09 924 ..:;.r.; BUILDING SETBACKS : FRONT= NA i i..: :;::•''::.. NA RIGHT= iii A REAR= �:t(:... -hi***•A•*•N••Mi Ni•j!*•R•3,:•hi**-y *** t;:o; t:{!t,•**•R•*•Ai SEWER p •t ' tK*'jt•**Pi'jsi1!i***.Pt'Pi**i1*Pi -Pi**i!!i***.R-.ji-.K CONTRACTOR= :lU t ." 1 N? CONSTRUCTION :O ) iCTION : tir . rt9 92 � r :; , STREET= 16402 E VALLEYWAY ADDRESS= VI`RADA!i...E:, WA 99037 ITEM DESCRIPTION i,l.I i"1 N•I .I• T,,-. l..I::.?::. AMOUNT PROCESSING FEE 10.00 SEWER CONNECTION 11 40 ,00 F'I:::Fi.i-ia:.T. TYPE . .EAMOUNT AMOUNT PAID F "fN ( OWING SEWER PERMIT 50.00 „,„ • 50.00 ,00 50.00 PROCESSED E::,`.T:.'.'F:::ii B : •...uii..:I:E•:: ;SHA T-•i(:i PRINTED BY : JULIE'FE .,Iiri-1 ,; SEWER S 1 l.I B:{ AS—BUILT::: :I.I'N FF•(:i i•!'.±'i f i T .I:is t I�± .I.S AVAILABLE ! -'(-H,I::. COUNTY UTILITIES..E i:!EPARTMEN'T• ( 456--7: CONTRACTOR OR APPLICANT IS TO ' .I.EI...+? L..i.icA'i-r AND CONFIRM THE I:I...I=:~::A 1`:E•'N f• N..: I•`t 1 :E(.i rti: t.i F ::b1 I ! l.i I:f r'F :I:i:'i I 'i•'t. f::i WY TO LOCATE E t:fI.IR:I:E': :y CABLES, GAS PIPING, WATER LINES, ECT, CALL ! ; BEr(.ORE. Y'(JI..I .o f G- ( 456-8000) 8000 SEWER STUBS h i F?E.: TO BE CHECKED PRIOR TO CONNECTION TO INSURE ? HAT THEY AEECLEAR ' EAR AND UNOBSTRUCTED i ( r >'iliiED i O THE SEWER MAIN :ntnatthkCALL FOR Ti -E ( { I ( 1 PI , . TO COVER iy *y ; ;j *; y *K ****** : 4 HOUR NOTICE REQUIRED *ai-!i-:R•p j!:••k=Ji•fr :i 456-3604 .... .. .. . ... :*******:k********************** THANK t i., i„i i)!•'k-:4••1?•4t a 3!r iF!i•!F•i!?-9s• 12.7?-*)F.j{.9+..:J!i Y:Pi P•R•lk!,.! .j;. / 1 (lMPOrriA MMMI GE) :FOR /A �//1 DAT �� TIME V" JP-../ M. • MANLL OF 50)- PHONE /f L tt V- '` AREA CODE NUMBER EXTENSION TELEPHONED PLEASE CALL Cact , / CAME TO SEE"YOU WILt.CALL AGAIN,, WANTS TO SEE YOU -" ". RUSH. RETURNED YOUR CALL ~ 1 SPECIAL ATTENTION MESSAGE C l ?pL ,..,•aC / Ut Jhl- ,.\-" :; - L._12...,,o-c,,, ti)'? AiLe___, --7.3•)' I . ..,..1 ..,,, ....L......_ _,„ .„-- SIGNED _ N.,LITHO IN U.S.A. ® / TOPS 9 FORM 3002P J\ 09\ c- N• 0-) ‘Q _