1990, 08-01 Permit App: 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
PROJECT NUMBER= 90003666 DATE= 08/01 /90 PAGE= 01
APPLICATION
***K*** ******************* AR
C Asf ( .EON ********* *************4**** *
SITE :.'.• 1 E?I::.E ! ='0 12705 !.. 12TH t•,t Vj.:r.a i'i i:.,i't.O_.. 22543-0726
ADDREEE= SPOKANE WA 99216
PERMIT f t.t E:.= SEWER CONNECTION ?ar; .j .
.;;.•b'N. EEE NOTE 'i''j':-N:
PLATO= J4 :9: : PLAT Nd( i - WOODWARD PARK ti
BLOCK= L.0 T ONE., t:.!ta,.t.iTi ia.1. ;
i::'
AREA= 00000000 , ;f..t::: i::' WIDTH= 150 DEPTH= 142 Eti.;'tal=,. !?';+;?
OWNER= CLARK , i:t r R(::t j PHONE=
'
STREET= •1 '7;:5 E" 12TH r.`•tw i'
ADDRESS= SPOKANE wA 99216
C a i _r . T • F= LEONARD
Eti <r . , . PHONE JI E "- . . 926. . . . r
BUILDING SETBACKS :
FRONT=... rt1A LEFT= NA RIGHT== NA REAR-:: NA
ik'Ai•Ai•P:'Ni*'Ai'Ai•jt''Ai'Ni N'"%`i Nr•Ai 7t''Ar***•?t'i:+i*'Ai'Ai'N:''Ai'Ai'Ai SEWER PERMIT A:'Ai Ai'k•'!+i a:**•Ai Ai'Ar**'Ai•P•*'Ni*i+4**A:'Ni':**'Ai f+i'P•**
CONTRACTOR= H :. CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 i::: t A1...1...EY•.isIf 'T f3'u'I::
':Ti :ji' _ ` SPOKANE WA 19 06
:i:"t'E::ii DESCRIPTION QUANTITY FEE AMOUNT
i:::ROCi::':` :':iNt:, FEE `1 10,00
SEWER CONNECTION •! 40,.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT l..Ir.G
£'i:::i4E:E i::'is::E;: ,t:i: •t• !;;0 ;j{.:; ..t:j!::; !_.sii :.00
•
,•,:t::.f) r:tx : ,.I j.11....EI::. :•!'-it=tI to
PRINTED tit Y : :.I U L I E:: ,::HAI !..1
SEWER ,:> !'j.B AE—BUILT INFORMATION I AVAILABLE AT T E'i E COUNTY
UTILITIESDEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT!....t.CAN ! .!.s f O FIELD 1...r!..:c ! !::. AND CONFIRM i !.. .
ELEVATION AND POSITION Ii''•E !..!i.. ;:,EWER ::: T•t.i s P1`..1.!.:IR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES .. GAS PIPING , WATER ER LINES , ECT
CALL BEFORE
YOU `i.::+•i•i,.• :5 :—8000)
SEWER STUBS ARE TO DE CHECKED PRIOR TO CONNECTION, TO
i
f ~ _ ; .
THATTHEY ARE CLEAR AND UNOBSTRUCTED TO t11SEWER MAIN
n:•N.'.1,:.n.•n:.n..,,:.N:* CALL 1::O R INSPECTION P Et..!.O R ! O COVER 'n••A:)+:A:Ni•Ai•Ai!l*jk
ji•)i)i ri l+i 7i:+i i•)i• '.?:::_ HOUR NOTICE REQUIRED x.1;.* .:1,..,;..j,u.*.j,.
.,t..j,,t,..,i..A..ji..ji.:tl::N: 456-3604 iur!+r i4 T:),. ,,..N:7 r'A:'N:
:?'J?''t!'!t'Vii•)t Pi)-r t++:i!L.i!+i.N..j,r it.:)t•'1i'i!+i 1?•J+r'jG i!+r c+E'1i•K/4 1+r it't('p'!t'j!r•j!r THANK yt.l t.l ii.:17!!i u`i P-ini!i'i!i•t!`i iii*Jk'j?"1G 3t P•*"ft'jam?L•};•Ji'9t iY i+:ik)E.j!.hi 9k.!`'9!•gC