1990, 09-21 Permit App: 90004799 Sewer JOB ADDRESS: / 33/ ) ��U . 10 f " -
SUBDIVISION: e� '[ 6L/" / 5a LOT: BLOCK: 7
OWNER: 41PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY:
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
PROJECT NUMBER= 90004799 DATE= 09/21 /90 PAGE=
APPLICATION
r.ii*h:ii :**tr al.•n•N*n*:* :u k:,;*:j? ii h:}: it •# AppLITATIoN # **)i :*ii*it 1k>r 7r )E ii ii a it i{% iE ri it
SITE Sr (REE:. ('=:: 13219 F a E MR0 RDFAIR(::ELS::_ '7 2 .,4.+ ....:. ,.;..;::
ADDRESS= SF't.1KtiNE:. WA 99216
PERMIT USE::::: SEWER CONNECTION .... 8801
ii• • SEE NCi•TE. **
PLATO= 0018.4 PLAT NAME= OPPORTUNITY ..I.E:RF.AC:E. 3RD ADD
BLOCK=` 8 LOT= 9 ZONE= AGSUBti !"• rr.....
AREA= 00000000 F/±:,,= F WIDTH= XDE::F'"(t I:: I;;/W=
OWNER= O,iB(.lRNi:::1 _ PHONE=:
STREET= •_7.:)'± `.>' I::. s'E rii?iii RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME=:: i..i:::(:)NAF{:(D .... H PHONE NI.1riF:tE:R':::: u:.._. 92: 0964
BUILDING SETBACKS : FRONT:::: NA i...E=E:.T•:::: NA RIGHT-:: i:± REAR= NA
'hi•P:'Pi,A.••Pi'!4••Yi ipr iR••Yf-)4•'R•$i'hi P:•N•i!'h 3 31 31 3'•Pi•R'31 tl n•Vit'•R• SEWER F E.RM1. I 3131:jl;'A:-hr$i 31 Pr 3r 3•)1::Ai :•31•R•p:3.•P:•1'' •R•P:•P•Pr•Pi'R•i4 i�r -ik
CONTRACTOR= I.i :: CONSTRUCTION PHONE= :'::;I„i';T 926 (•s'•>`•'t'$
STREET= 11817 F V Ai E._E...E:::'i of Ai`i' A?ti I:
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE E: A M(:lt.li'JT
PROCESSING F'F F:: .i ?r?7 r' ,1)4;7
SEWERCONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING;
SEWER PERMIT 50.00 .00 50.00
PROCESSED i::.I' B-.Y: : JULIE Ss In I T-i i
PRINTED BY : •».in...:E:i::: ; HAT"'T•C:i
SEWER ;'T't.):(:t AS—BUILT INFORMATION 1:S A'+;ATLABLE:. AT ..(.I_IE: COUNTY
UTILITIES DEPARTMENT JT (4':}6_»3604 )
CONTRACTOR OF: APPLICANT IS .TO FIELD LOCATE AND CONFIRM:i:Rri THE:
ELEVATION AND POSITION OF SEWER E STUB PRIOR 'T(:) ANY OTHER
EXCAVATION
TO I...00::ArTE BURIED CABLES, GAS PIPING, WATER i...l:NF.:S CT..
CALL». BEFORE YOU D F i, (456-0000)
SEWE:RTUB ARE. TO E: CHECKED•(:
,�� r PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND 1l1Jnr{STI UI TI I) TO THE SEWER MAIN
Yt ....p*it•*•n:* CALL FOR INSPECTION F'RTIiFi' TO COVER .i;.*:n:.p..d.it..ri.:a:-n•h;
HOUR NOTICE I E (,UIRI-X t ***ti•*R•iE ii•fi:•u:
***********:*********Y:*********** THANK Y i...l..1 ****************************K****