1990, 09-21 Permit App: 90004800 Sewer •
SPOKANE COUNT'( 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 Nl_Jrtj::E:.!:.':-- 90004800 DfirE;:_: 09/21 /90 _.. t:i 1
APPLICATION
T ION
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ETTE STREET=f::: 'i _ti211 F. EEMRO RD r'Ai":i.:I::.L..4-•- • '
ADDRESS= ;y"!'f!''t iJI::. WA 992i6
6
PERMIT USE= SEWER CONNECTION .... 8801.;i.%i.ai• SEE sNOTE: %i••,,t
F'i...i;•i4= 0't"1844 PLAT NAME::: OPPORTUNITY TERRACE 3RD ADD
BLOCK= L i...C•IT-:: .�
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AREA= 00000( ( 0 L ; qcrWIDTH=
DEPTH= R/W=
: OF r::i._xic;s:::: •t :N DWELLINGS= 'i
OWNER= ,:iTE::i :kc:'N , BEVERLY PF•!ilNE;;::::
>'•TkE::1-:'T'= 13211 F. • ,`:iE:=ilk'O i.;D
r:ir) I F::S =:: ::F:'Oi ANE WA 99216
CONTACT NAME= LEONARD .... H E PHONE NUMBER— 509 926 8964
BUILDING SETBACKS : FRONT= NA i...E::i-.i..:::: NA RIi:;I"f»I:::: Jr-"t I.:EAk':::: Nr::',
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CONTRACTOR= LEcONkTRUCTiON PHONE- 509926 8964
»{ i"`f E i=:: 11817 F:. y'F•11...i..E:.Y W A Y A b'f::.
Ar;DRE,'. >' - SPOKANE WA 99206
ITEM • E:: 'C'' isF'TisCriN QUANTITY FEE: AMt:ii..JNT
!::'RO(•::I 'i:'t�;r; FEEY i 0. 00
5EWE:i 'CONNECTION1 40::,j0
...........Mi:..i. TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
'E i4lE::R PERMIT 50.00 ,00 50.00
50.:00 .:00 50.00
PROCESSED BY : JULIE ;: i•'i r°i 1'r.Ci
PRINTED DY : :.Jl.i1...:i:E:: EF'Ir; C IL
SEWER ;i:•Tl.Jr:t AS—BUILT INFORMATION IS AVAILABLE A_i. THE COUNTY
UTILITIES DEPARTMENT (456-3604)
c::ON..i.l.,iAc::Ti.iF,, OR APPLICANT IS TO FIELD 1..c:,C:•ATFL: Aivr; CONFIRM T1..1F:'
ELEVATION AND POSITION (:11= EEWER ; TUB PRIOR T(1 ANY OTHER
R
EXCAVATION
TO LOCATE BURIED (456—(456-8000)(:::AE l...E'y::s, c;rY,`. _ PIPING , WATERWATERLINES,, ECT.
CALL YOU DIG (456-8000)
:1:::1,11:::!:? STUBS ARi::. Ni BE CHECKED PFt':I:r:.iF4. ..i.Ci CONNECTION TO INSURE
THAT THEY ARE CLEAR AND I lt'tOr.i,:'TR1..JCTE D TO THE SEWER r;AI.N
%i•a=a 'a •*•b:•h:%i- CALL F:'Cr F; INSPECTION PRIOR TO COVER :,,..i;..;,;:J,;_„'.,,,,,,, ,(.
%i-%i%;..j;.%'%;.a 1 r. :;'. HOUR NOTICE REQUIRED ******* *•
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