1989, 10-27 Permit App: 89004350 Sewer i
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BEOADWAY 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,1 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 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 ()ATE
•
' ;Ci:[ T NUMBER= 89004350 DATE=
10/27/89 rH _ .
APPLICATION
)h)i-***1?"*'J?'*)?'1F)?'*it)iJL•)t*ri)t':R:)t••it**)i'*)t)£')t'1h*) APPLICATION *)k9l•k**:u')4•`it'**R•)t•**)t•**Jt••it•)k*)t')k)t'**.ii.K'N:
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER c::(:{iNNE(:;TI:C)N .... ::t801
)t**• SEE NOTE E ) *}i
l::l_.iAiT:;:_:: 001844 f::I._.r',.T NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK:::: 6 LOT= 14 ZONE= AGSUR DI ;T:„: :
7R : 3= 00000000 Frh- : WIDTH= - ; DEPTH= 140 R/W=
•Ir i,.i:. }:tL.D?:t,':•.... :N. DWELLINGS= 1
OWNER:::: MILLER, GERALD F'HC:{NE::: 509 922: 9433
STREET= 1 ?919 E SEMRO AVE.
ADDRESS= SPOKANE tF WA 99216
CONTACT NAME= LEONARD .... H ... ,.. PHONE NUMBER= 1'09 926 0964
BUILDING SETBACKS : FRONT:::: NA LEFT= NA RIGHT:::: NA REA,R_::: NA
a.N.R A R R R R!t R N.R s N.:?N.a.A. P.N.N.)li i4•)4••ii••il: ?••li;p• SEWER PERMIT . *3:*)t•Pi h:•A'•j!'•1C k••itr iti*)Fi)l•jti'Pr'i?.*'li-*'Ni•N:)?:tn'•R•'i•ili:*)li
CONSTRUCTION PHONE=• ..r,: . 926 0964
SMELT- 1 i t:! i i i::. V A i...L.•:. 1 IF A l AVE
ADDRESS= SPOKANE WA 99206
I:TF::i`'i DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING VEL 10,00
SEWER CONNECTION 1 40, 00
PERMIT TYPE FF'E::F:: AMOUNT AMOUNT PAID AMOUNT OWING
EL..'3,...1..E PERMIT _ 50,00 +
00 50„00
50.00 „00 50.00
PROCESSED BY : JULIE S z,
ATTO
PRINTED BY : JULIE SF•IAT'T(
1::.%. ::{'t STUB AE—BUILT J.i Yl''.....i{.•! i..1....{ IE AVAILABLE AT •{ ..:: COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FF'IE:L..:(i LOCATE F:!i`•tT) CONFIRM TFli:::
ELEVATION :;i`•t. P . :•.1. 1 .L1.. I'•I OF SvEiJEF, STUB PRIOR TO AN'Y OTHER
BURIEDEXCAVATION
TO LOCATE ` ., ,
:.: t:ti•e:.:! i a.t .(.i,..t a!!i ,...i•, LINE ,
CALL BEFORE You DIG (456-8000).
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO` T;` s . i'•: :::
THAT{ {' ::.Y f"iR::. CLEAR AND UNOBSTRUCTED TO THE E ,til::.lJ.l{ R MAIN
K)******** CALL FOR'{ t l :?. O PRIOR .f.1 COVER **K*)(:** **
'J?•j3:*)1::H:*JI-)f)1' 24 HOUR NI.."• 1It.: REQUIRED 1F'}4::F?'.!:'R' !::F`::F'::FC i3:
) )F:tt"Pi Ni'ji')!i R* 456-3604 )}i Ir a¢:L•-i+i)s;i3;};r•i:i:�r
*:.ii.:isg i. : a : i ?: : :.li.. * iJ : y* c 1J "
• f K y i„:1 i. N"'!>,')i:)1:)i.''iii+:)i');.)y..i_.)t')i':3i:)1')t' ''!Y':'3''i':Ij-*'l3:)?'iF:'ii')T'11''J•`)°::3?':l3:el:
JOB ADDRESS: (. ►
SUBDIVISION: t5 � 155e. LOT : BLOCK:
OWNER: (' f PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: