1990, 09-27 Permit: 90004320 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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
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t f:'i:':.... .,. ,r. •" r•. DATE= l.,;3 i /f .1 PAGE-
1
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ISSUED PERMIT
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AJ):DRE:S :::: :'PuK ANE WA 99216
PERMIT (i;'I::'::: EEWER (:::c:INNE(::.{.:i:ON .... „ar:ji
PLATO=:,,..... ,;?+:.'I - +. PLAT ±til(-'i±•±(::...:: OPPORTUNITY
(•r::EtE(f'?(:.i:. 3RD ADD
r ....
BLOCK= 6000 LOT= .1500 ZONE= ("F`; Ii .x.....
. :: ! .x. f.
AREA= 00000 000 :.. ,.::, a::.i.{•/ i(••i:_: 85 DEPTH= 136 R/(,;i= 50
OWNER= {=}(.jBR'E::Y, .()AtRRE::I..L i... PHONE-,
STREET= 12925 E SEMR0 RD
ADI)RE r,',:::: SPOKANE WA 99216
i..:ON AC iSETBACKS :
NAME= LEONARD .... H ,�, ,, PHONE NUMBER= 509 926 ...•1'.:4
BUILDING E ? rit•ii_.. FRONT= NA LEFT= NA RIGHT=GH..�::= NA REAR= NA
*-H:'Ni.A.*.jt.*.lt..jt.*.11..a.*.ji:92-'Pr l+i*.N.* ............ ..F:Ej. :.". ?''::.:`•.±"±.. I 4!••Pi•Pi***.1+:*•k•1F:H•*k..h*:Fi j+r j+i j+i::,. *:++:3R•P:•ri:*:+b:fl:•1F:
CONTRACTOR= CONSTRUCTION ±.:Lii..jN;;:::: ::i+;!9 't::'6 Ei`:r 64
STREET= 1 1 0 1 i i:. 'a A i...i...F:.•T W A'i•Y {'.:t`n`i:.:
f:i( )I'':F:.5 .. SPOKANE i;JA 99206
ITEM i?E::E(:::F :I:F'T1:ON QUANTITY FEE AiM(:iI..0 N..(.
E'F (:?%:E::`s; isiJis FEE y r' 100 00
SEWER CONNECTION <¢0,i0/0
:ur*9t•,+ P::+:iF'r3'j+i*'P:i+k 9k.Pi.j4:+:94.pi:A..N..j+:')k*ak*it..p..1t--A:-1k•/l , (••1 {Y'i!:'.?d I ,`;..,?'!1`'t F•{R`{ i*i+r**j+i*•Pr•Pi:ry:j+i•P••P:•*•bi•j+.•'Pi K:k j4 i++i*jtr Y:**•Pi*
DATE RECEIPT4 RECEIPTPAYMENT AMOUNT
TOTAL DUE= ,00 TOTAL PAID= 50,00
PERMIT ..(..:rFE FEE AMOUNT A ( ( NjPAID AMOUNTOWING
EF: (AiE::E; PERMIT 50,00:0+'.:j `.:%0..00 ..00
. -----
50 „00 730 ,00 „00
F'ROCEE"j; BY : JULIE SHA...I.O
PRINTED BY : ...fUi...3:F :;i..iA.'('_('t:1
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE A,}... THE COUNTY
UTILITIES DEPARTMENT (4r>.. .....:;,._,0 )
CONTRACTOR OR APPLICANT
, : I � N T E FIELD
? i : I ! ; "N ; CONFIRM
; i Er 1 R r . .
ELEVATION AND POSITION OF SEWER STUB I _ ? TO ANY
OTHER
EXCAVATION
TO LOCATE BURIED (.:At:E i_.F:'• , G A'i,:, PIPING, i.AWA i i ?.:. LINES, ECT,
CALL BEFORE YOU C:j.F(:. (456-8000)