1990, 08-14 Permit App: 90003884 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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
i'j`.: r..' :.r:...I NUM ;i E•R:=: .7004..',884 DATE= 08/14/90 t`r::'{ I:::.. 01
APPLICATION
*****,k******************* **** Ai~'i-t...7C:A7:,.(]N •k,r iE *:^•s:a:*•]r a:•:.•J:•J:•Jr•ir•fr u•*i?•**ar):::*:.a:•::•:*::
SITE ,. TREF::•T'::: 0L>05 F:' 10TH AVE PARCEL4=
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION
P•a.•a* S E E NOTE a*ai at
PLAT4= 002704 PLAT NAME•::: UNIVERSITY PLACE
BLOCK:::: LOT= ZONE= A(.:SU DIST;",:=
)
'AREA= 00000 00 F'/A= F' WIDTH= DEPTH= F�';�i,.i=::
N: OF .1.'+1...DC;•s= M :k DWELLINGS= 9
OWNER= I-IERI...EDF:E{° PHONE=
STREET= 10505 E=: 10TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD -.. H ? PHONE NUMBER=
ER :
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
a a'a•i*a.a.•a.•a*..•ata*aa*y"P'•••••:Jt• •r:P•a*•i*a*•R•a•air SEWER PERMIT a************************ ****
CONTRACTOR= H- & S CONSTRUCTION PHONE= 509 926 9
y4
STREET= 11817 E VAi...I...F:YWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
S E WE R CONNECT:I:ON .i 40. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT cui:rNG
F:WE R E'E:RMT T' '50., t:)0 Cita 50. 00
---------
50.00 :.otJ 50.00
PROCESSED BY : ..........1:E: SHAT'TO
PRINTED BY : JULIEHATT°
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456- 604)
CONTRACTOR OR APPLICANT IS TI) FIELD LOCATE AND CONFIRM IRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIL_ i ;.::', :,i._i::. , 4YY'1�} i' :PIN , WATER LINES, FACT
CALL BEFORE YOU DIG (456-8000)
ARE ,_: .I E CHECKED D I':'i",.I.OR .T.i"i CONNECTION TO INSURE
THAT TI.1f.::r ARE CLEAR AND UNOBSTRUCTED TO THE SEWER W?ER. MA:I:N
•h:••itP•P•#PP•*a* CALL.. FOR INSPECTION PRIOR TO COVER P•at'hiP•'h;•ii•P•P•P•'h:
a*at PP:P•A:J*Pat• 24 HOUR NOTICE REQUIRED a*atP•ai.P'i•:P'aat'a*
r iPx) ia } * 456-3604 a*a*at at at ai..y,,..i,.:(,...iy.
'it•i.a..a.'P•P•ai'•ii•a.•a.•atataiai•ai•P•.a****•ai'ii..•iiai•.a• THANK v y i r err•aa a *a.•at tt *P* r* r r* t r n
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