1990, 08-16 Permit: 90003666 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
1''i°•:±..I,.?E{.., I NUMBER= 90003666 ISSUED. 6% ..
PERMIT
.... .... i::'F'-+Y;:.,...« I. ._.. T. { ! t i..... e. { t i . .
..1 } 1 dt•9t•9?'9!-fk 9t•t?•1!'!?•1!•}?•:4-•t!-9t;!':+?•9!-!!-:+t 7!'i+:9b 9?'},. t••1:..I't±t.l. ! .I.l'@ l"t.}l';:I"l t�! ± ..±..t 1'N 9:•}:• :et•9k 9?•:R';!•9+•:'+-•!-:`s-9E;�}!-•7!••}{-}!-h:`.•)t F:9:•!:9t:k)k:t+:'!!'
SSTREET= •t s; 5 !::. 'i i—i (•'41't't.:....e.. .. •• 2254.3-0726
ADr>i ;":t; :: SPOKANE WA E 99216
PI..RMT iE!•- :ki'= SEWER CONNECTION .... 8�:: t:)I
j,.}t•.n. ' . NOTE }i}t h
PLAT4= 002962 PLAT N¢:iM^.:::: ±hi±..j t.i?t_±hi.{it PARK ADD
BLOCK= ..1` LOT=+ `.. ZONE= (::±l y. t� i,UIS t .,-..::
AREA= 00000000.) �., - WIDTH= 150(1 DE•P..1.1I:::: 142 Ri`W 0
OWNER= t.:LARli , ?{.r1".:i..N PHONE=:t
STREET=i....:... '1 .J7C.t5 l" 12TH t°i t E
ADDRESS= SPOKANE WA 99216
.CN' •_:7, NAME= LEONARD . H- & PHONE CJ . r " r£ r 509 : nS, rS
BUILDING tfrIi : FRONT= NA LEFT= -NA RIGHT= NA REAR. NA
******k****)******* ********** )f 'R F t 4" ' F !PP !"*Pi '1PA} t k :R" t f k-: }b i 1 PnE •
CONTRACTOR= H ," " y. .?1•<,'> I R{..JC .F.I..iN PHONE,- 509 926 6 6 3
STREET= 'fi 1 81 t, 1.. �; a I i I"''L,i •', AVE
ADDRESS= SPOKANE WA ,}92;. +
rA.�i::: _� y,�
ITEM
DESCRIPTION i:::T.I.i:::iy Qi..iANT" t FEE AMOUNT
PROCESSING FEE 10 ,00
SEWER CONNECTION '! 40.00
............ .. ........ ................ .
'1?"P:*:k N:.i,:.•v:r:-x x 1?'*3k*:!P:':a n::+::x'Ik'P:3i !+::u:'i+::e
****************************Ka* ±'' ::.', I,.I Z'`I rl��?•':•T
PAYMENT DATE l':I::.t.:t::..l.t" I :ii PAYMENT AMOUNT
08/16/90 4 ,l7.' 50.00:. t
TOTAL I rAt1... !.?t.?1::::::: . ij(•i
.. .. .. TOTAL t''A.t.A1:::: 50.00
PERMIT TYPE y..{::.±::. AMOUNT A1"fO±.?N1 PAID AMOUNT OWING
SEWER PERMIT 50.00 50,00 .00
50.00 50.00 ,,0?;}
PROCESSED ?:;Y : JULIE J.E SI'•if:;! I i i-,?
PRINTED B'E : ,.l t.?{....t.k:. >I-i A t t t.i
SEWERS.T UB AS—BUILT INFORMATION IS AVAILABLE T THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
i i R A f';'1....i:±_..r.:.. , :I: ;' TO FIELD LOCATE r°f iii D CONFIRM ANY .. THE
ELEVATION AND POSITION Oi.. SEWER STUB PRIOR Ti`iANY ,.OTHER
EXCAVATION
_
I.
LOCATE
l : hTi ? tRJ : D CABLES, Gf ' PIPING, : GTi1 LINES, ECT „� E+ :
CALL BEFORE YOU / 1Y . .56. 800; 1
SEWER STUBS ARE TO BF CHECKED PRIisiE, TO CONNECTION TO INSURE
THAT t i 1••11::.Y r••tt•'.:t::. CLEAR AND UNOBSTRUCTED TO . .•It-. SEWER MAIN
P.'!!•'P:•;>:*fi.r:•;*:* CALL i•'c.r R INSPECTION
PRIOR TO COVER : .R..*h: : +;•}+;n:*
*K******* ' . HOUR
tLN:l . , „ REQUIRED
„ ! iFi % t:
;!•**•P:•x a?•i+:sr•le 456-3604 in:?i••i.h:•*ii*t.•ik:};
* ******* *****K*************** "t • , ******************** ******4** *