1989, 11-13 Permit App: 89004655 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 and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto 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 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 IlATE
...... .......... ...... ... :. ........ ... yT. i r n• i ( i r 6*-i i r ii-i,'e i *• i•
•t!•:i!'a.•jr}:r!•a!•n:tr:ih X]r::R'Fk i;9i•9i•1r�!:x;•!!•9C-!•:1�9k 9!..}1..ji.:t?'9i:9!-4!•)k:u. i.q 4''t'?...�.±.:f..± ! � ?..t?'•.- 4:••ir A:k.t!.J!••..7:n:•):•!}J}'1. t:•t:4.•1!'•.......:-:t::e:gg;u; .i,..p..is
:
SITE STREET= -12819 E iiTH AVE
RCELO= 22543-0616
(:±.[.Ii.1L'•'.I::.5<;;:::: St'`t..?1':(AiNf::. WA 99216
PERMIT U..F.:= EEWER CONNECTION .... ,:{i-f07
•ji;!'.;ii; SEE NOTE •: *.i:.
PLAT4= 002962 PLAT NAME= WOODWARD P::
RK ADD
BLOCK= !;i LOT= ,; ..(ati.t... t'i(x,::.(.11:i
AREA= t::!!:!!:!!:!i::!!:/!:!i,:t ?••,`±.:,= F WIDTH= rt s.}t;•1 DEPTH= • .:a.:' ''/t:.?::::
'!!' OF !.:t l...!.+t.5,.i.... y,. DWELLINGS= ?
RASP, PHONE= 509 922 7493
STREET= 12819 E 11TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT N"Mjj : LEONARD " tPHONE NUMBER= ,i ' ( i r : 64
BUILDING < . , ;f . FRONT= ..
?Jt•:t 1...(:.{�..�_:::: NA R:::?::-i•?•1-::: NA REAR= i`•:1;.':t
**************************§**" t:`t::' '::.,_ .+ . ,:.` i r i i r f i i t ii i i i i i
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CONTRACTOR= I-; E CONSTRUCTION I-=Hi,iNE:::: 509 926 ;::i`• ,A4
STREET= 11817 E VALtEYWAY AVE
(•:if,ti..j?':t::.E,.. SPOKANE WA 99206
ITEM i!E.,::C:P'IP ? .I.i.i?`I QUANTITY FEE AMOUNT
PROCESSING FEE 0 „00
:::FEWER CONNECTION.i.}...i?`v ? 40 ,00
PERMIT? t r F'I:_: FEE AMOUNT:.1?. AMOUNT PAID AMOUNT OWING
SEWER
PERMIT 50 ,00 ,00 50, 00
PROCESSED B..' jULTE ,::•Hf± ! I t.!
PRINTED BY : JULIE SHATTO
SEWER STUBi ? AS—BUILT INFORMATION : „ AVAILABLE AT i _ . COUNTY
UTILITIES DEPARTMENT (456-3604)
)
CONTRACTOR ±..!'e"5. APPLICANT t ?., r ,.?::L..t.) inrATF AND CONFIRM THE
?::.?...1::.',:A ? .t.±.,fN AND i-t.lET ? .I:?:`N OF •.?::.{:a;::R STUB PRIOR ( ..i ANY ?.ijt.;t,. .
EXCAVATION
TO LOCATE i BURIED CABLES ,; Gt••iE PIPING, .A t L'I' 1 .._ E .. i., ; ,
CALL i::?::.I::OF:i:, YOU i; { .I.t- (456—@000)
SEWER t ,, ,' ARE T; BE CHECKED
? =± Iii } _ : TO
CONNECTION TO INSURE
THAT ? ;1E'; ARE CLEAR AND UNOBSTRUCTED TO THE SEWER i"ii:ii_.N
................ii. CALL
i..('±R INSPECTION PRIOR Ti i COVER •iii*;t•:!t;'r'iEi 9ii P:*•lii
:'ti:i!: i: : . _ 24 :
t ; NOTICE REQUIRED ; Y1* :''E:: ! )E:
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JOB ADDRESS: �( -&J- +"
SUBDIVISION: / /)
LOT : BLOCK:
(1?OWNER: A c fp PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: