1990, 09-21 Permit App: 90004797 Sewer JOB ADDRESS: I j
SUBDIVISION: 6 LoT: _BLOCK: r
OWNER: I bt/ L I- L PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY:
SPOKANE COUNTY DEPAFENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this perm it/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= 90004797 DATE::- 09/21 /90 01
A F:'P'I...ICA T•TON
****xx*xat•xx•'n.•xx•r.•x•iixxxxxxxx§ilii ** APPLICATIONxxxxii•xxxxxxxxxx:.xxxxx•xri•xx****xxxx
SITE STREET= 13017 E ,`.iEMRO RD PARC E::i...:„:= 27542-1556
ADDRESS::- SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION •••• 8001
*** SEE NOTE xxx
PLATO= 0018.4 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= e. i...(?T=:: 19 ZONE= AGSi..il:i DIS•T•O:::
AREA= c,000i 000 F:'/'A=: I::' WIDTH= DEPTH= R/'W=•
OF BLDGS::: 4 : 1',taiELi_T.NCrS=:
OWNER= BIXBY, D I... .4 i... I... PF•iONE:.c.
STREET= 13017 1= SF.hh:CI RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD .... H & S PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
li•x•ii•.h:..ii•xxxi+:xxxxxxxxxxxxxxxxx•xxx SEWER PERMIT xx•x•x•)t:}lxxxxx•xxx*x•P:3{•x.M..M..la:xb:•*x•blxx*
CONTRACTOR= H & E CONSTRUCTION PHONE= 509 926 0964
STREET= 11817 I::. VFil...}...EYWHY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION (QUANTITY FEE AMOUNT
PROCESSING FEE:: Y' 10 .00
SEWER CONNECTION 1 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 .,00 50 00
50,00 ,00 50,00
PROCESSED E::D rt Y : JULIE SHA•r•T O
PRINTED BY : JULIE SHATTO
SEWER STUB AS••-FOIi...T INFClFtlATe::OyN IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-304
3 • :,604)
CONTRACTOR OR APPLICANT CANT 1:S TO FIELD} LOCATE:: AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES,5 f� G A S PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (456-8t;00
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
�4
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
•;tx* *'xx CAL...L.. FOR INSPECTION F:'FRIOrt TO COVER F4. h:x•;1:x}!•xxxxx
xxxxxxxxx 24 HOUR NOTICE REQUIRED xxxx*x•xxx•x•
•;txxxxxxxx 456-3604 $.••;kx•P:>rxxxxx
xxxxxx* ****R•x9t9l3 3 *xxxxxxx**3*** k THANK YOU xxx*****x** *3t•xxxxx)k P•k•9t•f!•xxxx•xx•)tx•;l•