1990, 07-26 Permit App: 90003553 SewerI canny that l have
and correct, and
provisions include
harem or not I on,
SIGNATURE OF
OWNER OR AGENT
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
tis permitepplication, statetbatthe information contained in hand submitted by meor myagenttocompile
pokers County to proceed with processing. In addition have read and understand the INSPECTIO
d agree to comply with same. All provisions of laws and ordinances governing this type of work will be cci
APPLICATION
DATE
Vapplication is true
IESENTS/NOTICE
whether specified
not beconstrued to
of any state or local
PROJECT NUMBER= 90003553 DAI'F= 07/26/90; PAi:F= 01
APPI-TCAY'TOM
APPLICATIOi7 ;tiFR;c;�*It+tri;��iereu,xafnn
SITE : S'1'RFET= 12819 F. 10TH AVF PARCFI.-^==
ADDRESS= SPOKANE WA 99206
PERMIT I.ISEi:= .S'EWFP CCINNIFCI"I(:IN 9901
*■ SEE NOTE ***
PLAT'.= 0029A2 PI._AT NAME.= WOODWARD PARK ADD
BI...00K= 3 1OT= 10 LONE := AGSUB D7:SI:i F
AREA= 00000000 F/A= F WIDTH= 140 DEPTH= 142 R/611= >0
4 OF BL -DC," 4 DWEE.. L..:E NGS -= i
OWNER= ROBERTSON SI F:: V F.
STREET= i28i9 E 116TH AVE
ADDRESS= SPOKANE WA 99206
PHONF= 509 924 990'i
CONTACT NAME= STEVE. ROBERTSON PHONE NUMBFFI.-- 509 924 9503
BUILDING SETBACKS: FRONT= NA LEFT== NA RIGHT= NA REAR- NA
SEWER PF:RMI:T *********u****************a*rc*
CONTRACTOR= OWNER PHONE=
I:
TEM DEi:.SCR.T.P'TTON QITAN"1':Ely FFi:F AMOUNT
PROCE:.S.SING FEE: Y iI 00
SEWER CONNECTION 1 4() Of)
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
S'EWE:R F"Ei: RMIT 50.00 .00 50.00
50.00 .00 50,00
PROCESSED BY: JULTE SHATTO
PRINTED DY: ,.IL11...IE SHATTCI
SEWER STUD AS—BUILT INFORMATION TS AVAILABLE AT THE COUNTY
UTI1 ITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT TS TO FIELD L.00.,ATF. ANS) CONFIRM THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO 1...CICATEBURIED CABI.rT, GAS' PIPING, WAIF.R I-INF:S, FCT,
CALL.. BEFORE YOU DIG (456-8000) _
SEWER STUBS ARE: TO BF CHECKED PRIOR TO CONNEC:TTON TO 1:NEURF:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE. SEWER MAIN
********
CALL FOR IN.S:ECT:i:ON PRIOR 10 COVF:'r:
******** 24 HOUR NOT'TCE REQUIRED
********* 456--3604
*************************n****** THANK YOU