1989, 11-14 Permit: 89004350 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BRCIADWAY 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 flATE
PRO—..EEC-T- NUMBER= 89004350 DATE= 11 /14/89 PAGE= ,:-}.
.E:,':` :t.iFr PE.FtiP'`?•I.T.
.. .... ......a......... .. .... ,..,,...:;'M. . , ._..
.y..}j-;:h 1¢)t')S')!:�:'3f'�•jR.�.��.}t.�.�!.��.}y.j}.:�}:�!..�}..1F•,!!;N•qe•jl•I!• ?"?::.E''•.1 I.I 1 �.?'.E"?...#"+1 I¢.i I .I.o('+., 4!:•P:P::iy;!r--,;••,Y•}:•i!':-i!k N-*9k:n:•}!:lt•9k M:•Jt•:!i tt:!!..}k*:n;;r:it-•,k
SITE STREET= :t + y . Ee , ;( AVEtf . _ IE ! .
27542-1552
r•:o:c:i E:::,..,.. •• F'l I V ,f'E E::: WA 99216
PERMIT USE= SEWER CONNECTION t.,,:'.
PLATO= 001844 FE...A.T NAME::::::: OPF'i':1R,TI!i'I3:'•. . ..T•ERR'.AC::F: 3RD ADD
BLOCK= 6 E...(T'T:::: i ::.;• ONE= AG.S` '3 D'C E ? .n..... F.
AREA= 00000000 F= A= EWIDTH= 85 IEP- ! : 140 p
, :
4 OF BLDG,;:::: :•r DWELLINGE= ?
OWNER= MILLER, GERALD PHONE= 509 920 9=483
,... ! E' F F 1::.. 12919 F. ::;F i"i Ft:tl AVE
ADDREES= SPOKANE WA 99216
CONTACT NAME= LEONARD D .... H ... PHONE NUMBER= 509 926 8964
BUILDING SETBACKS :
•t'...I`. :::: NA LEFT= NA RIGHT= NA REAR= 1
: f } i u i, } } u ti i a *nuiUr } ; ii i7 :hs: c • : PERMIT 3 l**RP4 **} **u*P *} P .. ....*.**.
CONTRACTOR= !E & ; CONSTRUCTION PHONE= 509
STREET= 11817
F 1r'r•,',E...LEYEW{;`r AVE
t',D})EsE:::; ::= ; E-_+-1KANE- WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING .•F::E::: r 10.00
SEWER CONNECTION 1 40,00
.. M.,
j}.'}i•�!i.!!:r,{..i.:!i !i:{..t:!.:!..!..!..,:.;!i 9!:•}!i i!i ini-}!i.pi 1!:..pi k•h:�•1(•k•}4'},i .,.,,,.,, - , .., .i.:!..:.!;•L;;,t:!:;!..!!..,::,,:!.:!.:!.:,.:!.:!.•!..}!.:::::t•e••i!;r;r,_•;•n;
., }., , }t, ,•;•} F•, r#t':.r•. l ?ii r.,.t'`; -..,•u; t,. }. , , , , , , , � n,� x� ,� ,.;�..
PAYMENTDATE E E:"C;E::::E:p T-'u PAYMENT AMOUNT
11 /14/89 56; 6 50,00 i: )iTOTAL. DUE= .00 TO'T'AL.. PAID= 50.00
PERMITTYPE f'C:.,.. AMOUNT . AMOUNT F',. t: 1;.. i ! .t..
SEWER PERM 50. 00 50.00 .00
50.00 50,00 .00
PROCEESED BY : JULIE \!'.! :i)
PRINTED B`i' : JULIE ,.'E'.E F'i•T E to
SEWER STUB AS—BUILT INFORMATION l::' AVAILABLE AT ..(. .,C i!I p .T..Y,
!!'TIL...t. T .E:EE DEPARTMENT
(456-3604)
,i)4)
CONTRACTOR OR APPLICANT T; TO i F :E:F::E...S) LOCATE AND t C) C;(:ii iF :rRM THE
ELEVATION r`il' D E='t::l ':E:T:L(1t'J OF SEWER STUB E:'k:LiiI: 'T•1) (i 'J7, OTHER
EXCAVATION
TO LOCATE BURIED :A::L E...E:::, , C;r"i E PIPING , WATER Fisi'•IE; , F:'C::-i' .:
SPOKANE COUNTY DEPARTMENT 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
PROJECT i....l.._.L..I.4.... 89004350 t!r.•'s 1 E"- 11 /14/O9 PAGE= 02
ISSUED PERMIT
SEWER STUBS ARE: 1l.1 BE CHECKED PRIOR TO CONNECTION TO INSURE
't.iI4E
THAT +•I..I3.•.f. f'i F:I..: CLEAR t^.j j:1 t i UNOBSTRUCTED X'i i i'F i E SEWER Mf:,.. i
�.............*.!?.ar** CALL I::•t,.f I•:. INSPECTION PRIOR TO COVER *ji)r•'r:•j. r
'!k•p:•i•)i•p:ti;p•)i Vii: 24 HOUR NOTICE I. I:::t.Q I..I.I.I•'•:F:.1; ')1'p:p 3i:?i•p:A p:•,i p:
?ii lir ri•liil*4i•!i•ii••t?- 456-3604
*K*********** **************** * THANK
you f 3 , *p ! , , i ipti *giir . ai ,. Ni:k a 7, P ' i.
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