1990, 09-21 Permit App: 90004802 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
PROJECT NUMBER= 90004802
rn048rriA7F = 09/21 /90
9 = i :" " FF ;iW01
APPLICATION
*A••i3-A•A•3t A•A-A x*A A•A•A•A••;ti**A•A•**A•A•*A•A•** APPLICATION *****A•A•AA•**A•#3i•A•A•K*A•A•A• •*A•A•A•**•ii A A•*ii•
SITE STREET= 12803 E 9TH AVE PARCEL4= 729 . 22
WA9921 SPOKANE
ADDRESS= } r.;.. t ca
PERMIT USE= SEWER CONNECTION .... 8801
*A•A• SEE. NOTE ***
PLAT
4_ 002962 PLAT
NAME= Wi.iC? Wh1•t.? PARK ADD
E...[?i:f<.::- "= LOT= 10 :'.ONE= AGSUB DIST::::::
AREA= O '0000c0 t /A= F WIDTH= 100 DEPTH= 143
3 R, W_ 50
NOF BEr ;?= HDWELLINGS=
•t
OWNER= TRUNER, TED PHONE=
STREET= .12803 E 9TH Ar.-:
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD .... H & ,' PHONE NUMBER=:: 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= i'JA REAR= NA
A**iAA9NA*A {*A*AA* lAN.**. {AAJSEWER PERMIT **AA*AFPt&*AAItA*iPA**h **P* }i
CONTRACTOR= H S CONSTRUCTION
PHONE== 509 926 8,•. :.
STREET= 11817 E::: 'u A E...I._F::r W A'T' AVE
ADDRESS= SPOKANE WA 99206
ITEM DE::SC::Risr•,..rr.Ot QUANTITY FEE: AMOUNT
PROC'ES>isiNC, FEE Y 10, 00
SEWER CONNE: CTION E 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT .?4:>.t•.to ,00 50,00
BY :t•t T
50,00 :.00 50, 00
0
PROCESSED CY : ,.ilIE._IL ..3HA (TO
PRINTED BY JULIE SHATTC?
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT is Ti:? FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHE ::'!ETi PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED D TO THE::, SEWER MAIN
)¢A.•A•A•A A••)t•A•i'. CALL FOR F isN.SPE::i::TisON PRIOR TO COVER A•3+:*-P:-P:_A.P•A.%-P:
A•*A•A•A•A•A•ieii• 24 HOUR NOTICE REQUIRED A•A• i•ir•A-•;r•ii-Aii*
A•A:•P:A•**•!t•A•* 456-3604 604 •P:*****•A•;4*
??•A•)t)(-fF 9i-'A.•-11-)t A:A'A-1!-'JY Jt•N-i?-1F 7!-a!'*!l.:P•ti,.Jt:*f{.yt.A.A•!l.* THANK T ...s..t A•P•)t.*9t A•*A.**.;!-A••1?•it li•A••tY A•*it iE it*ii A'**Jt'*9t 4k*9{'
•
JOB ADDRESS: g (00-?-'46 .1n q1-4- ev7c _ e
SUBDIVISION: - �jL�� - 0D-43-- LOT: /O BLOCK: A
OWNER:_ PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: