1990, 10-05 Permit App: 90005168 Sewer SPOKANE COUNTY DEPAnTMENT OF BUILDINGS
w. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oom/vmut/huvooxommoum/snmm/vunnn000un.stummou»omm,muvonoo"mm^umxunuouomntoo»vmoonnvagentmvvmpnonump rmit/application is true
and correand authorize S : 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= 90005i6RDATE= 10/05/90 PAGE= «i
- APPLICATION
****************************** APPLICATION *********************************
SITE STREET= 12915 E 9TH AVE ,ARCEL4= 22543-0108
ADDRESS= SPOKANE WA 99206 '
PERMIT U%E= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT4= 002962 PLAT NAME= WOODWARD PARK ADD
BLOCK= LOT= 8ZONE= SFR DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 50
T: OF .BLDG I DWELLIN�%=
OWN ER= cARDNER, R H PHONE=
%TREET= 12915 E 9TH AVE
ADDRESS= SPOKANE WA 99206
CONTACTNAME= LEONA�D - H & %
PHONE NUM�ER= 509 92A P964
BUILDIN� % TBAK% � FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 41847 E VALLEYWAY AYF
ADDRE%%= SPOKANE 'WA 99206
ITEM DESCRIPTION QUANTITY FEE AmOUNT
-----------_------------- -------- ----------
PROCE%%IN� FEE iO.00
SEWER CONNELTION
PERMITTYPE FEE AMOUNT AMOUNT -PAID AMOUNT OWINC
____________ ------------- ---------_-- -_ ------
%EWER PERMIT 5O.00 .8O 50.00
------------- -_---------- -------------
50.00 .00 50 .00
�~^'-- ^�. ., ` . -
PRINTED BY,: JULIE HATTO
%EWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UT7 ITIE% DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT IS T[} FIE L� LOCATE AND CO���IRM THF
� ,. ` -_.--
ELEVATION AND PO%ITION OF SE�ER �T,� �RIOR . .. �': .' .. . ^. .
EXCAVATION
TO LOCATE BURIED CAB|��, GAS PIPING, WATER iINF~ ECT.
CALL BEFORE YOU DIG 7--b-8OOO>
SEWER STUB RE TO BE CHECKED PRIOR TO CONNECTION TO TN%UP:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INEPECTION PRIOR TO COVER **********
********* 24 HOURNOTICE REQUIRED **********
******** ' 456-3604 **********
******************************** YOU *********************************
r a-' l '. i - SSS
JOB ADDRESS: I f3t
SUBDIVISION:
J B -- C l LOT: BLOCK:
OWNER:I -7- -4JD---11 e PHONE:
ADDRESS:
CONTRACTOR: / - PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: