1989, 10-27 Permit App: 89004346 Sewer SPOKANE COUNTY DEPAP fF NT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto 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 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
F"h',l.i:.iEt.; E NUMBER= 89004346,'i 6 ... i iE 10/27/89 PAGE=j.:;=
APPLICATION
:;i.rt.:;}. :i.:i::i.:;.:i'.:;.:,::tj.:�i. .;}.:i.M.:i.:;::;::::,i.:l(.:;(.:i.:ll.:j.:{. Ft: f'3 e.i ************************ **3***
..t.:,i•..t.t 1t:.....1...t.1. ,•,�'�"'E....E.}.•i�$ .:.'..!,�
, i F STREEI = 12913 E::. SEMR0 AVE i.:A!:,,.l.: i .i,..... 27542-1551
ADDRESE.... SPOKANE WA 99216
PERMIT USE= CONNECTION —
EEE
PLAT,;:- 00-', 344 PLAT E'•i;::,ME.:.-" OPPORTUNITY T_ " " ^CI3RD ^ ? ;
BLOCK= ,"T LOT= t ..i ZONE= i•:}tx,:;t.i B ;').} '" fi.....
AREA= , :P : t : :, E : a: " WIDTH= k > DEPTH= 1j^ C ` : .
OWNER=
FE{ E :CN! } PHONE-
drr ` 4t
924 t:),}r;;.
STREET= E :. ..E ..:1 I•' s E::.f'E't'i..) AVE
EO.
ADDRESS= SPOKANE WA 99216
CONTACT E E''•.rii'li:: ,... E'. `'' PHONE i-. i'i.i #%..;:.''
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= . .f'r t'i¢. . REAR= j•.E fa;
•,:4:)i:ii:;,i*ii'iti ii'-R•!i'7i•ifi•R'**ii'iti ii:**ii•ii•iii ii•'),:Pi** SEWER fE :l : E i:i„s n ii i 1i? : i i „ ) ii r: : * 1 y :.,i...i..; :
• CONTRACTOR= E' ': E CONSTRUCTION PHONE=50 ....... 8964
STREET= 11817 E:'. 4 f'i!...,...i::..7:wf_'',,: AVE
:,.•.
I^•}I1Dj1i::..:1 - SPOKANE WA '?)Y.:206
ITEM I lE1J'cF' ;.F'..l.'i.!„!N QUANTITY
E..Ei:'. AMOUNT
---
PROCESSING is E::.E.:. •'f 10,00
EEWER CONNECTION 40,00
PERMIT TYPE E... F'iE'.... i§ i AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 „00 50,00
50, 00 ,00 50.00
PRuCESSED BY : JULIE EHATTO
PRINTED BY : JULIE SHATTO
EEWER STUB AS—BUILT INFORMATION
..
UTILITIES DEPARTMENT i. r�::!!;t......=td?is j.:?i::
CONTRACTOR OR APPLICANT IS TO FIELD E...[..ic::AEE.. AND CONFIRM THE
ELEVATION,., f..{. ..t. POSITION OF ::•I::.U.E...i=: STUB PRIOR TO.} A: . E }..E t..t;
EXCAVATION
TO LOCATE BURIED i.f.: •!' ,.. GAS ' W r,,...} LINES ,
CALL !.?L.., +..!i':E::. , t.?E.! DIG' i, 4..:+:?....'::r,."7%;i j•i
SEWER :- E i.?B::t• }'•'t H E::. Tu BE i... 'E E::. ..E:;E".D ; :; ':E is i'i..'' .. C i I.. F,E':.t. . .E.E.. i, Cu INSURE
THAT E d ".i::. I A!•.E... CLEAR AND UNOBSTRUCTED TO 1•;..EE::. SEWER MAIN
******K** UALL ,. i! , INSPECTION PRIOR r3 COVER ii.)!, . t
i
1. 9,;• 24 HOUR NOTICE: } E.; E i 9i.;;,.;,..ii..`i:ii i%'K•fi:::
A****:**** 456-3604 .:::...:::..:.i•i}i iii•ii!ii%i i;:.;;.p:
a {:.;...a..: ; : aF } aar : a:.:�..a*ai. r "
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JOB ADDRESS:
SUBDIVISION: �`CO� ) 6 / LOT : BLOCK:
OWNER: ('1PHONE: -fi
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS: ► ( Y ! c
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: