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1990, 09-26 Permit App: 90004904 Sewer r 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 PRO ECT NUMBER '9() ()0 4' yy DATE= 0.9.. 2: nt20 PAGE= . 1 AI'P C1-1T1.1#_N b 7 4 3 f 3 {3333 ? R9 4; ) r 4 tpJJ 3 f 1 f Pf 3 APPLICATION 3f 3f)+i:++i 32.4f 3f*3f 3{.yn..j•:.jr..jr.*i!.!!.h.:J}..pi i+.**j?..}t:ji•.jr.p::JF:,i.1+:):..j,.. SITE STREET= 12816 9TH AVE i..: •RE !!..... „ ,:J,t: 'Y ADDRESS= ,`:iI-0KANF t 1t 99216 PERMIT USE= SEWER CONNECTION .... 8801 PLATO= 002962 PLAT N A i 1 i::-.. iA)()l.! IiAr F-i,t_1? - K !:•{!j i_j BLOCK= , •: .LOT= 'i `.ON I::.= (•'±j.r::',1.!t.S DIET.p..... F. AREA= 00000000 -• •. WIDTH= DEPTH= i j u .{ 4 OF BLDG{.. 1 !i. DWELLINGS= A:(t. OWNER= WILLIAMS, ii D PHONE= M T E:a:.C:.T:::: 12816 s': 7TH 1""i !`'!V i::. ADDREES SPOKANE WA CONTACT NAME= LEONARD .... I..I {:' PHONE NUMBER=-:: ?. 09 926 0964 BUILDING SETBACKS :!:{ACK, : i'RON E _.. NA LEFT= NA RIGHT= NA REAR= 3 f•ji•3f 3f:y''3f n:•ji 3t•if 3t-*.j(.:n..jr..p..j,..j,..j,..j,..;i..j;.:..:.,:....3f'h..j,.., 5E:w E R PERMIT n:h;3f :•.*........jf 3+:3 3f'3f**3f s':.t 3f. 3<'3i'...*n:3f 3f CONTRACTOR= H ,^. ; CONSTRUCTION PH(.1 509 926 8964 . 6': ADDRESS= SPOKANE WA. 99206 :TE::M DESCRIPTION LON QU..UANi•:IT FEE AMOUNT PROCESSING`1:Nc; EF E::E Y 10 .00 SEWER CONNECTION i 40:.00 TYPE PE:: t'•I::.E AMOUNT T ('!t`Et.Jt.JN T• PAID D l rPEt.iI.JE•r'E PERMIT OWING SEWER PERMIT 50.00 .00 50.„00 PROCESSED E::i() ; ''i' : JULIE `�11(1.1 to PRINTE SENER. STUB U C1S....Bt.!.I.I...ifNI"OE'.i'? t t .E:t.!E IS AVAILABLE A Ir::. COUNTY i?I:.PAR PARTMEN E (.< :.:---3604) CONTRACTOR OR APPLICANT Is TO FIELD LOCATE AND CONFIRM THE I : I::E...E-.V!1 E .E.t.!N AND POSITION OF SEWER STUB PRIOR TO ANY OTHER HE=R EXCAVATION TO LOCATE BURIED CABLES, ..x:•i�• PIPING, WATER i... LINES, ECT . CALL t.. (456-8000) 1:�i:.E"t.it.:'I:. !E..1t.! _>.. .v STUBSSEWER ARE TO/� BEt:::}•il=t::i CHECKED PRIORTO CONNECTION TO INSURE THAT y THE:;' ARE CLEAR AND UNOBSTRUCTED '(-(:1 THE SEWER MA IN *****:k*** t.:t=tI...E... s•O I•t INSPECTION PRIOR TO COVER 3f 3f 3f•h:.jt.3;;.ji..if•ik 3f *******K* 24 HOUR NOlIt":E-. REQUIRED 'k-it:ri..'Jr-3 3!*3t•p 3+: ;t,'•3'3}•Pi'jf if 3f 3:3,. 456-3604 3:•Pi 3f 3+i Pi 3f 3:3+r*3+i THANK .::., -jt.•jf 3t::p.:r...j•.:rz.3?.'r•:•3f 3i•32.3i•3t.•3f 3f,�-i f 3f-i$3f 3L•Jt•i+f'Pi 3f 3f'lf 3+i 3i•3f 3f 3+i t 1-i(•�t t`S i. you t",I ^.3r.3+i itr.3r.ir..jf 3i-3i•;i,:;ei- 1:.A•3f 3f iR"3f"if if 3f 9t•3f Jf 3`:•7f Jf** 8 JOB ADDRESS: 1 �� SUBDIVISION: � �j LOT: / BLOCK: GOe.c.) ---C)---C) OWNER: LA._J ti Li to JD PHONE: r r ADDRESS: CONTRACTOR: 1-1 PHONE: ADDRESS: LICENSE #: INSPECTION DATE: TYPE OF OCCUPANCY: