HomeMy WebLinkAbout1991, 09-18 Permit App: 91005948 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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= 9; 00 ; it; APPLICATION ra i " _ : _ . PAGE 01
•?t'a+:!f:*r•* THIS .#.::> NOT A
... . . . :.PERMIT *ii *ii
r ^ -f # ; IrrRP 'Sr - ccs:D ; !i ir "i.N : i ` r WORK ; _
?
?? ;Ai PERMIT
± t::. } t•{`.r;• ` :r.: 3 E 12TH >:`•i is A R C i'•i 4
ADDRESS= SPOKANE ANE WA 99216 ,
PERMIT
USE= S :.WER CONNECTION .... ,Aii L Ci•+;±�.S ±
9t-4t-•!•`. S#:..#::. Nit_ i 'P:*
;:i f:.2^=.R._ 001670 PLAT NAME= MOORE ' S' AF'!<, •••+.+B.. i 5'Y V±::. ';i••?
BLOC
AREA= 0'„j;00 e_f':J I. r:t^�, I WIDTH-#7 i'•#:::: D:)t't.:”! 1••i.- :'�i.;t�:: a.r.
OWNER= t ,r;: BILL PHONE=
STREET= 1 1:F l ; #.� 12TH AVE
1:.
ADDRESS= SPOKANE ANE. %;A 99216
CONTACT
NAME=
.: . , virt PHONE NUMBER= j ) : 92: 8964
BUILDING SETBACKS : t•;.L.,N ! = NA LEFT— NA fA'i .';:...[.I•. F f•J A REAR= !`a F-::
.,.... ... ...... ....... -,:r
�:u•�!}.l+:hx Fr'}!:'!�:'t?'u r:'7t''n:'P:a5:n..rt'it'l+:.},..)e u''!r•J+:a+:.!,..,t.;t. , ..I,.: ., F.,r..,.:i!, f **********K*******************
; ! Lft , }± - H CONSTRUCTION PHONE= 509
:9 9f0964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY !"'E ±::. AMOUNT
-----
PROCESSING FEE T '10,00
SEWER ` t`:}ra r•t.: # E t!.;''v ''t, 40.00
PERMIT T'Y TYPE FEE i': �A•i;.t t_}t.;#'*I T AMOUNT;`.`..;N PAID A i AMOUN' OWING
i i i
SEWER PERMIT 50.00 .00 50,00
50.00 .00 50. 00
PROCESSED BY : J
I t t
PRINTED BY : .ttt ; r- .H -r # ± A
c'rzi L:.Lx[i..,#': ::' ! l.:Z. f:i:.:....i_:S I...�.#... ± ..f.# l.!i`-.t#f••! # :,i..?!'`•. .!.,.: }};,::i.#.t...f••1..{....#::. AT THE COUNTY
I..? t I#...I. (E0.1 itt::.!-•Ar MEN j456.•....:?604
CONTRACTOR OR APPLICANT IE
TO FIELD i i) L..C:ICA ! E AND CONFIRM THE
ELEVATION AND POEITION OF EEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED Et,? GA PIPING, WATER R LI±'+i:' , , ECT.
... BEFORE YOU i .•CABLES,(456-0000)
SEWER STUBS .+--i z t i::. TO; B 1.:. CHECKED PRIOR TO CONNECTION i_i :.#`-'?g l..I-;:I::.
THAT THEY ARE
CLEARE" - AND UNt.trs,':. i {�`%ii:T:fit.) TO i ;•j!-. '4:it.!.I .;- MAIN
+r-Pr a'**')+i 1+.'*h:• CALL r.i..!r,, INSPECTION PRIOR ± (.? i...I.. �j t:;q!... **•A•3+i'Pr'M i+i k;ss;iij
3h lt•:+F 3t•'?ER'*:}?')t' 24 HOUR !'t°t.F f .t 6{:. REQUIRED ')k 3t-9:7:
3k 4k A••R•:+:Jt•N:98:n: 456-3604 ')l•Ni*'i+:'P::u:lt-9C•rl'*
t: t i: }! : : n n* i: : * } : (n : n: j* JF * THANK Y fi :: . R) P h} : p*Jf: r : ! : K *nrJt 7 - j. P )