1990, 07-31 Permit App: 90003661 Sewer 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/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
' t C , I { NUMBER= 9 ?: - g6^ j i .? r/y i /t
0 p A f; 01
APPLICATION
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SITE STREET=RF::E::'{'::: •t .:.r'.:. _ i::. ;s#:: )R... RD PARCEL,,._. 27542-1805
ADDRESS= SPOKANE WA 992.16
PERMIT USE= SEWER i c:i.iNE::c::•TI:+,:,ti`•{ .... F'r;^,
*•)t••lt SEE NOTE *•*'*-
F'#...HT:q::::: 001846 PLAT NAME= OPPORTUNITY TERRACE C.'#.:' 4•'f'j..i ADD
vi...v;...,., 4: ).?WE-i...1...:[i.I„Y
OWNER= 1 e:.R R!.I...(_., R R PHONE= 909 924 ,0::'.A
STREET= 12922 E SEMR0 RD
ADDRESS= SPOKANE WA 99216
CONTACT
i`-?E•tME:::::: LEONARD .... ii & ,; PHONE NUMBER= 509 926 91964
U:i.L..):::C.NC SETBACKS : FRONT:::: i•Jr§, LEFT= NA RIGHT= NA REAR= NA
*******:k********************* ..4F:.WER F•' ::t•+..I"i 7..(. iu:••),:•hi-x--Pi-Fi•Pi i4•*-P:. N•-)k.j...*-P:....:.t *. .ik*-ti•.
CONTRACTOR= H & ,:r CONSTRUCTION ''i..lNE:::: 509 926 8964
STREET= •1 •i ffi ', I::: Vr'`tI...I...F::'r'I,,.iHY AVE
ABBRi:::::.,.. .. SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE
PROCESSING FEE r' 10.:00
SEWER E CONNECTION I ON I 40:. :ii.
PERMITTYPE FEE FyMOI.ii`'1.T. rtM0t.IiN.1. F A I::c: AMOI ii.i..{. hiiAI l:N(.;
SEWER HERMIT '...>0:.0!:) 50.00
PROCESSED (:t Y : -..!iJ i.. I E:: ,'I-'i r'`t.T..T O
PRINTED BY : ,JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION I:L! tit',;'r"t1:i...raBLF:. AT ..f.i..IE COUNTY
I..JT:C#...:ETIE::S DEPARTMENT (456--3603 )
CONTRACTOR OR APPLICANT ANT I. TO FIELD i...(:)(.:: 'ATI::: AND CONFIRM I:R1y{ •T'i••IF:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO BEFORE LOCATE F_R
:: .t:;UR.l.ED) CABLES, GAS PIPING, WATER LINES, ECT,
CALL E:. OU D I.G (456-8000)
SEWER STUBS ARE F:. ..{.O :tF:: CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER R i•ira.tN
,! n:b:-a;-;•:-)!•*•)i-b:• CALL -i..i R INSPECTION PRIOR r•t
****if:**** :2 NOTICE 4 HOUR R E fi.i T R E D *-P:'IF;i/•;IF jl•;11•J.G JM.y..
*:k******* 456-3604 *1t•.j{.'hi-R-74 Pi-Pi'Pi'Pi
******. :k********************* i HANK YOU *********** *********:k**** ******