1989, 10-02 Permit App: 89003716 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 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 I')ATE
DATE= 10/02/09
/ ,.., ;..
1 : di: : . Lx*r ) a !K: * : :: i**) L: rE• } : APPLICATION **M****************
SITE STREET= 12107 }... 6TH}f !"}'!6. F'i!:'..:1::.....'8'__ 21541 -1205
ADDRESS= SPOKANE WA 99206
PERMIT I : ;E: SEWER CONNECTION
. : ^ si
r . : » a . 001845
; j3{5 : _.T NAME=
aMG " » 4Pt U " i { , HEIGHTS
EtTiA D:
BLOCK= 189 LOT= L « . — " 3i
LAF?.i.,.: 'H'•.•. �.•
AREA= 00000000 #::. F'_ WIDTH= DEPTH=
Ni.. .
AVEOWNER= UNKNOWN F'HON
STREET= 12107 E 6TH
ADDRESS= SPOKANE WA 99206
CONTACT N
!N }_ 46 - ti- ain :...' E6...: _ •f : P c _; PHONE . i " . '509 922
5676
BUILDING
. t. ts : { w • : C . . FRONT= i ' LEFT=
? RIGHT= : rREAR= rA
. r: } 1 i :kY*iku*xir) ; * f3s i � SEWER PERMIT R M I . _ . .}.sy... F. } . .pj . .Vih'
.a :::: :
CONTRACTOR= SY A;4t 't: ENTERPRISES INC ::#.E,•."};+.##:'.
509 922 5676
STREET= 9.„:500 E SPRAGUE
ADDRESS=
:••5Y•I•",'E:'SSPOKANE WA a. ,9: 0;
6
ITEM DESCRIPTION QUANTITY '_.3.. AMOUNT
PROCESSING FEE 10„00
SEWER CONNECTION 440 ,00
PERMITPERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER
PROCESSED BY : jULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER S LAAS—BUILT i ; LFt _ s If
. ........:'t..t:'E...e... AT , ,.... COUNTY
UTILITIES DEPARTMENT (45A--.56(M
CONTRACTOR OR ..ria
T IS TO FIELD LOCATE AND CONFIRM THE
E# ::•4,.f.•Y••i'# N A;+.;i• #::n,_,.2... E.}. N ...t!... STUB: ',R':
OR TO ANY OTHER
EXCAVATION
. ..5 E
STUDE ARE TO BE CHECKED PRIOR TO CONNECTION TC INEURE
24 HOUR NOTICE RE0',i1RE'L