1990, 06-20 Permit App: 90002857 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 CT I'MI..E?'?FS[:.?'4:::: 90002857 DATE= 06/7'0/90 PAGE= t:t .
ArrLiLniioN
) {) jjk i ) ) 93t 7 k yK f R9q ? ti 1 Y Jjlt Rn APPLICATION
k•*fit•*ii. ?-•j}-it lr�r.r•..s,.f}.k•4?-7t*)t•:!?••tt•9i•4'r 4?•9L••t±:7•-ji..j{.jp..t?..jl::t(.;±;
SITE STREET= 1 $021 E 12TH AVE
—0834
99216
ADDRESS= SPOKANE :.,1 i��1 ... . .._.
PERMIT USE= SEWER CONNECTION — 8001
PLATO= 002962 PL.••t NAME=.... {xi l„ii jv.. 1•:c 1.1 PARK ADD
BLOCK= 2 LOT=i .._ '? 0 ZONE= AGSUB D.1.• .,,.....
S
OWNER= SWANSON, KENNETH PHONE=
' STREET= 13021 E 12TH AVE
BCONTACT NAME= ,LEONARD Eti'”";F.:i) .... #..I
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.j}.}l•.j}:•jk-N:-t}:-A:•A:•R:•tt•9±:)k P;R••N•l±i)!i t?+r•jli•A:••N)li)$R-.jt..)L••n 1::'r:• '• {::.i,;l#'.,L,, PERMIT )!:)±i)li•Ri-Pr);.:1y..j;..p:)}:•'R.'k it?•fi:Pi;±{•Pi)!i-jli-jK..jl..j,..ji..},..j,:;,i..j;..t,_..,..j{.
CONTRACTOR= tCONSTRUCTION PHONE= i 0 ' ' • 0964
STREET= 1 • f1 - » ! »# ? iJAT AVE
ADDRESS= S#"' ,1#:A1•i?. ,,1A 99206
ITEM EM E, f.Rs., t,E-,!,•, QUANTITY FEE AMOUNT
PROCESSING FEE Yj 10,00
SEWER CONNECTION i40.,i:j0
PERMIT TYPE#-. ?..EC:. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50. 00 .00 50.00
•
PROCESSED i:i ; • :.j%.'L...1.1::. E?'li'-1 ( ? =..i
PRINTED BY : jULIE SHATTO
,:}EWER ,:• 1t.?+:i {-{S....I:it.i.1.?... 1 .e'.NFf^iP':?•'?i; ? :.4.:P''? ..... F`1'd'6 # #...E;.:;#...F 1.ii . 't.... l:cI..11`! i '(
t.! 1 .1.1...T t .# 't:.,: ;.11::.r•c:{#:i'i'i"i,::.N';' ;4D6-3604 04
CONTRACTOR {?e;. APPLICANT IS TO•1 t::'I,::'± T i LOCATE r' i i CONFIRM TI I
! td {_j?'• SEWER , tIt PRIOR ... �-� OTHER
;
ELEVATION 'AND POSITION 1 .1.(..t•'. ,.>e:.�t:... ,; ! #�' ... . ... ANY ! ,�±...?'::
EXCAVATION
TO LOCATE BURIED CAFit...ES! GAS PIPING, WATER LINES, Er . .:
CALL BEi:OF # YOU
DIG
.45.:.....2000
SEWER STUBS UBS t1RE 1 o ftE: CHECKED PRIOR O CONNECTION TO .1.?'y::}t.j#'.:1:•
THAT THEYA11.#: CLEAR i•AND UNOBSTRUCTED O TH#-. SEWER MAIN
)?••n•hi)i••»•)i*n•* CALL 1"t.!R INSPECTION P#•ti.#.?.fR TO f i..:i,j V E,.., :n::u...0 ai•a ii*3i*•b6
)±:•ii•.,t.)i.){.);•)(.)i.)?. 24 HOUR NOTICE REQUIRED ***K:;;:* ***
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