1990, 08-17 Permit App: 90004010 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY-AVENUE
SPOKANE,WASHINGTON 99260
(509) 456-3675
/oom,'mat/ouvooxvmmoum/onerm/uanvxouuvn.stummunxomm,muoonoonm/noumuunuvvum.uvuuvmoonnvagentt000mp000aiuv rmit/application is true
and correct, and authorize Spokane County to proceed withnmcoss/nu In additionI have reaand 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.
APPLICATION
OWNER
OVvmcROnAGENT DATE
PROJECT NUMBER= 90O04010 � E�C8����/9O PAGE= 01
*** ****************'********* APPLICATION ******************************* *
SITE STREET= i29if E 12TH AVE PARCFLO= 22543—O837
ADDRESS= %POK :INE WA 99206
PERMIT USE::: %EWEZ CONNECTION — 8801
*** SEE NOTE * E*
PLATO= 002962 PLAT NAME= WOODWARD PARK ADD
BLOCK= LOT= ZONE= AG%UB DI%T4=
AREA= OOOO.)OOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 0 DWELLINGS= i
OWNER= REAT]AFORD, RICK D PHONE=
.STREET= 1291v E 121H AVE
ADDRESS= %POK1NE WA 99206
PHONE •NUM~ER 509 926 8964
CONTACT NAME= LEON�RD — H & � � =
BUILDING SETBACKS : FflONT= NA LEFT= NA RIGHT= NA REAR= NA
******************+******** SEWER PERMIT ******************************
CONTRACTOR= H CONSTRUCTION PHONE= 509 926 8964
%TREET= ii8i7 E VALLEYWAY AVE
• ADDRE%%= %POK )NE WA 99206
•
ITEM DE%CRiPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNiCTION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 58. 00 .00 50.00
------------- ------------
50,00 .00.00 50.00
PROCE%JED BY : JULIE �HATTO
PRINTED BY : JULIE .THATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% 0EPARTMENT (456-36O4>
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION .AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS RE TO BE H TO CONNECTION TO JN%URF
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU *********************************