1990, 08-16 Permit: 90003660 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/applicati n,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 roceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply ith 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 thi permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions o'any state or local law regulating construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P i.,.t t ;..t ' NUMBER= 9000660 DATE= 05/16/90 F' >. c t
ISSUED PERMIT
.J 1 Jt J P s- '1:••. t t t, J J *: J J ! 1. , ,...R t"±.#. ! .,,,v,•t.i#'4±.F•i ± ..i..t i-.s *li•:,s•)i•ji•jr••ii'?r.ji•;,i.:,v*.,;.*•i!:•J!•Jl'}':*3t i;.:Jt.iF*.i(.1;..i,;.},;
SITE STREET= 12.80:: E 12TH A V i.. ±.:g:)!•{?:,Ei...ii.::: 22542-0723
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — 5001
PLAT4=,,:._. .,r::J2 yt".!:' PLAT± ±'.±-7±y'±±::.:::: t,:(+,.:,,:.)iajA'e'S:D PARK A.lti!
BLOCK= ,' LOT= ZONE= f ` ' i; i . : I x.
tRE ( = i "e ;i ; s- WIDTH=
160 DEPTH= • . 5 i::::
}!, OF 1:#...f?tx,:%:::: ' 'x• .l?U.t±::.±...1....L±'':t.Y,: ::::
OWNER= WARME.NHOVEN, Wi:LL..i:AiM C PHONE= 509 926 3303
D ..r._._ ,l,: iI_. WA
99216
CONTACT NAME= LEt t+tN.r•.R Fi H• & , PHONE NUMBER-:: 509
9 T} 6 {9
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CONTRACTOR= ItNSTRUCTiON
, HONE: 509 '2 8964
I :: t :E " : ; i `` V IEYWA, Avr
ADDRESS= SPOKAAE WA 99206
ITEM E#"{ iJt..SCt';:.t.i.: ± .O!'''t QUANTITY FEE AMouNi
PROCESSING ,::•i:: :• •'f 10,00
SEWER CONNE. s.:E O?i': 40 ,00
Y:****************************** PAYMENT ::,;;t'F1't{q;•t,`7 {•*•!h-Pr ix7 k a•iG*-)E•fir•is:•iii-P•ixi*-1.:*•Pi**•it:***:„i*;f.
PAYMENT .i.: , .+_ ".,,._C,._.,.,»,.}..•t,- PAYMENT ti''OUN •
08/16/90 4789 50,00
00
PAID=
PERMIT T ' : : FEE: AMOUNT PAID rt.r (.IN > iwr ;
SEWER PERMIT 50.00 50.00 .00
50.00:00 %0, 'i ,00
PROCESSED f.'E SSEi_i ::x : JULIE s'_IAi i ±:::i
PRINTED BY : JULIE E-1ATTO
SEWER STUB .;,:,—BUILT INFORMATION Is AVAILABLE AT _iF-IF COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
ONT4CT, s" APPLICANT
” "i . lPNT . % O FIELD ? C :A : : v ) CONFIRM
ELEVATION /••t '•':,t POSITION 1.;#..
SEWER STUB !-'.;.c.?.. ;C TO ANY OTHER
± i••tt••r,,
EXCAVATION
TO LOCATE B JRII::.D CABLES, GAS PIPING, WATER LINES, FCT .,
CALL BI:.j..O1•"•;E:. YOU A'.?.to (456-8000)
SEWER STUBS A, E , O BE CHECKED PRIOR ! c:i CONNECTION TO1: ...IRI
THAT .,_+ AUE. CLEAR AND UNOBSTRUCTED TO THE ;SEWER MAIN
*h•*P:9t•')t•;k*'it• (., a?...?... i••i,i RINSPECTION PRIOR TO ::i:,t•,r:E R )f••k Ji n:p:•ii•*n•i?• :
i:•**!k9t•)?•flit 1: 24 HOUR NOTICE REQUIRED'Et! 1?..)t•Rfi•)i•1:?iii-it.*
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454f)-3604 *if:•*)i it:*•iii*a;.
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