1989, 11-13 Permit App: 89004651 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 HATE
PROJECT NUMBER= 89004651 DATE= 11 /13/89 PAGE= 01
APPLICATION
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SITE STREET= ? ,:.. r'1 ..? E:. 9TH AVE P;',•..s•:::-L...,,..... 221::;47,0270
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ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION _.. 8801
)• SEE NOTE '*
Cl + ! E- t . "? iaPLAT ,� II : ti " ;W(jl %„l { ADD
BLOCK= _ 1f: 8 ZONE= ArtI :
DISTO= I..
i'•iI•':f:.i•.,.... 0000+;/0n:10 ?•• , t.}::.: F WIDTH=I••I-:: DEPTH= 142 ?• .:
0 O 1^{I...lfi.r.E :. N: DWELLINGS= 1
OWNER= A A ". I / EDWIN
)Ati ' 509 " " 7375. .
STREET= 1 i1 '..) I::. 9TH ('i kt E:.
ADDRESS=;:':' SPOKANE Wirt 99216
LEONARD
CONTACT NAME= .... L.I iy c' PHONE NUMBER= 509 x. •:s ti.+ 8964
BUILDING SETBACKS : FR.[.iNT:::: NA L..1-FT::: NA RIGHT= i•• A REAR=:::: j•Jr.':!
! 7 k k} :: : p n: : p h n : p ? t n ji4 } P p t: ¢ SEWER?? P : ` ' . *31:**** ***********:*:***********
CONTRACTOR=
...NT ::T fi. t; CONSTRUCTION PHONE= 509 92,` 8964
' i E?E::I:::•(':::: 1 1 :f 1 ,' F_:: " II...1...E::.t W t i`r' AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY
FEE AMOUNT
rT
PRQcF.TSING FEE 10.00
SEWER CONNECTION 1 40.00
PERMIT ( TF: FEE AMOUNT AMOUNT
i;'J..(. PA:I::D AMOUNT OWING
SEWER PERMIT 50.00 .00 50,00
50.00 ,00 50.00
PROCESSED BY : :.Ii..IE...T E: SHAM.)
PRINTED 1-{Y : -...u.n...1:E:: ,:':'E"I,i-J..I._(•(:l
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES', GAS PIPING, WATER i...1:NE"SE'C:Tn
CALL.. BEFORE YOU ).!IG (456....8000
SEWIER. STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT T THi s`I ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
.t,..J,.*.p::a:p:•p,.l+..p: CALL E•O R INSPECTION E R.I.[_I11'. TO COVER )i'p:•i,:*•:•a':u:*.!?..p:
HOUR t t
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JOB ADDRESS:
SUBDIVISION: LOT : BLOCK:
_
OWNER: COL) / G2_.e
PHONE:
ADDRESS: 1
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: