1990, 06-14 Permit App: 90002741 Sewer SPOKANE COUNTY DPARTMENT 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 proceedwnhnmommmo In additionI have reaand understand the INSPECTION REQU!REMENTS/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
PROJECT NUMBER= 90002741 DATE= 06/i4/90 PAGEi
APPLICATION
****************************** APPLICATION *********************************
SITE STREET= 10401 E 9TH AVE PARCEL4= 20544-0322
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - U-HI ULID
*** SEE NOTE ***
PLAT0= 003540
BLOCK= 3 LOT= ZONE= AG%UB DI%T4= E �
AREA= OOOOOOOO F/A= F WIDTH= iOO DEPTH= 150 R/W=
0 OF BLDG%= i 0 DWELLINGS= 1
OWNER= UNKNOWN PHONE=
STREET= 10401 E 9TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JODY - A & V PHONE NUMBER= 509 924 6182
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= A & V CONSTRUCTION PHONE= 5O9 924 6182
%TREET= 1425 N UNIVER%ITY RD
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ------- �
PROCESSING FEE Y 10.00
SEWER CONNECTION i 4OOO
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ------------- �
SEWER PERMIT 50.00 . 0O 50.00
------------- ------------
50,00 ,00.00 50.00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB AS-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
ONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
LEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , �A% PIPING, WATER LINES, F�T
' ' ^
CALL BEFORE YOU DIG (45�-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED * ********
********* 456-3604 **********
******************************** THANK YOU *******A*********************** *
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