1990, 04-23 Permit App: 90001604 Sewer SPOKANE COJATY'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
' o..E::c::T NUMBER= .r:i 4 DATE= 0_� 90PAGE= <:;,
APPLICATION
:r•i . ;
**P:**)!:3i•*3i•**1?•)t•Jt•*3G**ii•)!i***3**#%4** APPLICATION 3**3i•*3'*#•....3i•3f•....'P.•.3t..'j(...) •j{3f 3i*R'34•*A**N:
..S.. ::. STREET= 12907 E '.•E I I{'+`I:1 A V 1::. P(=!I'?I...I::.I...•x•_.. 27542-1550
ADDRE :, •• SPOKANE WA 99216
PERMIT U:sI::::::: SEWER CONNECTION(7N .... 8801
;-:*3e ,'.)E::E NOTE )!i.j;..•,i.
PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 6 LOT= 12 ;'(:l I'J I== AGSUB U B D i, •T K:: F.
AREA=A <)(jtyf)i:�`: i. 0 F/ A .: I.: W E:T:j (t•-E_: ¢:{`i ��I•I::+-I•I..i:::: •i ::f0 E{;/i).i::::
(t .ii. „.... /
..t E• til. ljl.:f\:::: .,r t,j 1.11::.E...E.. .I.�V+.X.�.._ l
OWNER= PEAVEY,Y, Tei D PHONE== i:;; tcy c92;:; 8490
STREET= 12907
j :: 7 }7E \jNE C
AVE
ADDRESS= rEIt , ` EWA 99216
CONTACT lJAME::.:::: LF. 77 ,s PHONE NUMBER== l,S 9 ty ;
,
BUILDING EE::TBAlC;K,`> : FRONT= NA I...E::I:_"T':::: NA RIGHT= NA REAR= NA
:k•r:•x••:n:n•K**h:-p}.p}.}!:3i:•ik K:x.3!..,,..k.*.h.:p :h Y ! K Y•R•****:P:*Pi)+i**::••.:t::.•.:•.-'.:-.::.•.
4 !l.A.N.b.P.N. �. A. h
• CONTRACTOR=•T'i:ti,,= H . :>' CONSTRUCTION PHONE= 547 926 8964
STREET—: 11817 I::: u(•tE...E...I:::'i I4(°t'{' AVE
ADDRESS=E:;4'S - PCH<ANE: WA 99206
ITEM DE::EC:R I:E:''..I..t_(:N QUANTITY FEE AMOUNT
i:+R(aC::E: ',`.>`:I:j'•!(:; FEE r' 10,00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT IP+(^t:rr AMOUNT OW:E:N(:;
--------
SEWER PERMIT 50.00 . 00 50, 00
50.00 .00 50 .00
! R..)l.;s D BY : JULIE E ,.I•Er± t (i..,
PRINTED BY : JULIE SHATTO
` :AE I ...; r E lAS—BUILT
. LIET INFORMATION i w AVAILABLE AT (fi COUNTY
I . III . E : DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IE
TO F
I1. o LOCATE AND CONFIRM THE
ELEVATION AND POSITION ( I <E. - '
STUB E:'Er:E:(:1R TO (:a i J Y OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAE PIPING, WATER LINFE, ECT ,
• c:AI...E._ BEFORE E:: Yc U +:j:I:(r (456-8000)
SEWER STUBS ARE TO BE:: C,E•Ef:C:KED PRIOR TO CONNEC:T:I:ON. TO :rN,SURI_.
IIS`„ THD ARE CLEAR AND UNOFtETRUC:-Ti~.0 TO THE SEWER MAIN
.. ... :. ... ... ;.,.;,,: CALL FOR_. ;,.,I-,,.•i.'.T.7.O:' PRICE TO COVER ii 3i•3+•31 3E)i.H..j{*.j;.
* }i•3i-)i-3'•)F3i* 24 HOUR NOTICE REQUIRED #3E3t•3E3i•3E#***
•*•**3t:•Pi'R:'Pi•Ni 3k 456-3604 .. .. . .
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