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
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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
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8
JOB ADDRESS: 1 ��
SUBDIVISION: � �j LOT: / BLOCK: GOe.c.)
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OWNER: LA._J ti Li to JD PHONE:
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r
ADDRESS:
CONTRACTOR: 1-1 PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: