1990, 06-28 Permit App: 90003018 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
PROJECT NL " sC : 90003018 ..:1.1•i t••. O r` 'i t,` ;t!r;! PAGE= ..
t';i is i..:t....t.i~-.(•:i•! ...
913 9!•'!t•1'.•7L'it':+t'•tt t{•:li::lt•3L' ii•it 9L•lt•1',•ik lt••i!i i!;7=:it{.ii-ii•3i.n-** APPLICATION r ik G it i!i ii"1>.•)i•it'1••}i•7+.-itj•*a.itt.j•.:J!•H'iti•$'i It J>.•tt?-it+.•:'t•it:'1C 1f••}t•1?•lc tui
SITE E ,:i i i'i,.. i.. i .... 112 /i2 i:.. F i i t i i"a ti —0720 0 i;i`... ..
i.ii J.J 1,Ji•c t::.,.:,_ .. �'i„t i`,il'y'a l::. a}}:i_ T ?:...-it..
PERMIT i..),2•Ex: SEWER o . CONNECTION . 8801s ( tiiX)
PLATO= 0_ : 9i : PLAT J it : WOODWARD PARK ADD
:ti...lJt..lC. i...i.i T ... y R%ONNE::.::.. t°'tt1 'it1; .?.., •I
AREA= 00:900000 1”1-(.`.'}:::: L: . WIDTH=1..I:::: 'i 4, DEPTH= 156,"J I•:,`/W=
•x• OF B i...a)G,.}.._ .i!' DWELLINGS=
OWNER= PECK . ANN PHONE= 50 : _..,.. 3124
r
iiT.-z. ... . . NE ... 992
CONTACT NE 'C : LEONARD . tPHONE NUMBER= 50: 926
c•;'.•r;'i.;a
BUILDING SETBACKS : FRONT= NA Lt::.t" i :::: NA RIGHT=i :::: NA REAR= r,NA
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CONTRACTOR= y . CONSTRUCTION PHONE= 50 . Y: i :
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S i ,.-! :' ti•f l...t...i::. W f'1 Y i••?M$:.
ADDRESS= SPOKANE i::. W 99206
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ITEM DESCRIPTION QUANTITY FEE AC't l.i 4.i��! !
•
PROCESSING FEE .10 ,00
SEWER CONNECTION 40,00
PERMIT TYPE
l::. S'EE AMi_)i_)} I AMOUNT PAID AMOUNT OWING
SEWER PERMIT 5&,00 i 50.00
50,00 .00 50.00
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J!:
SITE i... i...I I i::, : TOPIC .... GENERAL DEPT
.. 5_. _
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SITE AL:.:•t.) INCLUDES t::.A:`r 1 127i4 'I AVENUE
E
PROCEEEED :.: JULIE
PRINTED B i : ,_.i.}L,):t::. SHATTO
SEWER S (iAS—BUILT '; : _ M ; TS AVAILABLE ft j ,. ! !.
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CONTRACTOR OR i, t:at..i.•1....7.i..('i `T_f Ig TO FIELD LOCATE i••;1•V 1,fii CONFIRM THE
ELEVATION AND POSITION OF
ER STUB PRIOR TO ANY OTHER
i..;i..:f•+ i i:: i i i i•+;a.i::.i;i .., :}hi i...i::.�'• , i:r±•t:':• ' .t.L: E.;‘,.:c %;ir::} I �(+; L i;t:7 r�:.: ....-.. I ..
CAL..L BEFORE YOU D i i —8000)
i
SEWER STUBS ARE TO
: E CHECKED 'RI , O
.Lvvit� . ON t
i _ :E
CHAT THIi ARE CLEAR ANDL ; Yi ' IiT . ; " 4 ' MAIN
t r t`d PRIOR i i..r' COVER .k:�:•Ji:u:'>t:*ii:•it•it••tt•
:!:•?!:9k•P:•Jk i!:•N:•P:'Ik CALL FOR Y••i. i.!
:r } t fi:: k: :i. 24 HOUR ?t ^ ii . REQUIRED * i . iJJ9f
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