1989, 09-19 Permit App: 89003465 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 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
' : i _! LNUMBER= 89003465 tjr • 09/19/09 " . _ i .
01
APPLICATION
:' r:?. r] : : :::::,i-.::i.:,i.*: *1 : 5 i v! : N3d : 3ri•..: : : : APPLICATION : 3.i.. :rr: u5 : : * 1 : :: : S ? ]:5 : fi1 : : : *
t.;T..:..... STREET= 121
_•' 6TH AVE PARCEL
.Sl..... 21541 -1221
ADDRESS= SPOKANE WA 99206
PERMIT USE= tri' -.:
801
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PLAT ='.i.. 001852 PLAT
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AREA= 00000000 i..• :i,... WIDTH=
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Jf. i«7I::• i 1 Y`�r" C=.... .ti. DWELLINGS=
'Si' t_ !.?i._A?'1':.i•••• "S!' ?
OWNER= C -IMhi ! ROBERT
L : rY _ PHONE= _ . ' _ : 2875
STREET= 12103 E 6TH AVE
ADDRESS= SPOKANE WA 99206
" S: 1 : rNAME=
M: " DONNA - • ' " A T 1 : PHONE NUMBER=
i
^9 924
: "
5485
BUILDING SETBACKS : FRONT= NA LEFT= i ; RIGHT= i ^ REAR=
::?.x.ate..'.:'.*!r.i::ii.::r.:.,:::i.: •. •:K: x.:: i'. ::::i.+r.:,r.**:r. SEWER !T^ :i::::?. ir.]r.:ij.i .,}t.::?.:?j.+j.-?i..jj. ir-1::Fi.:?y.sr.dr.1r?..5:::?i.lv
CONTRACTOR=
; : R; t _ t . :: : L : . . : CONSTRUCTION PH : « . 309 9. 5485
STREET= 16402 - `•r 6•i: ..6..Y rV I"i !
ADDRESS=
:..tRE{':r .,i i' :t i h? I::. ?! '+f^3.y°..'
i:it
ITEM D_ : 3rTt " t "; .r . r : _1. AMOUNT
PROCESSING i-Eh 10.00
:...._t^.'t...R ^.«..?I-'t E.C.: 1...._.. , 40 .00
PERMIT TYPE FEE • OU T AMOUNT i _ ^ AMOUNT OA . iiSEWER PERMIT 50.00 .00 50.00
50.00 .00 50, 00
PROCESSED° ?ii .
^: . . - } . . _
PRINTED ti : _ IL ! r. : !" Yj
SEWER s" , AS—BUILT
: ' INFORMATION i cAVAILABLE
sh1 ? . E1 : ' ` PCOUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
r iL " : R ! l APPLICANT
1 " . 3 _ Awt7 _ TO FIELD
IE ? t . Li n i CONFIRM : "
ELEVATION i :YPOSITION OF SEWER _ TAPRIOR TO .KY Cl 1 -
EXCAVATION
TO LOCATE i iLTCABLES, j ! iPIPING,
r! • G! 4AC: LINES, irrx
CALL BEFORE YOU U .. (456-8000)
SEWER : 4 : : ° L YO 1.3E
{ i4L ; ._ .'... ...'.4
'.•L....i Tr . ('_ INSURE
: fr
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
? FOR INEP r..r.., .::f.?r..t ]