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
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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;.
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OF 50)-
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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-
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SIGNED _
N.,LITHO IN U.S.A. ® /
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