1990, 04-24 Permit App: 90001669 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
f:,l i-i,.iI:is -T' NUMBER= 90001669 DATE= 04/24/90 GE . 01
AFFLICajF ,
}?,it a?..,!.*:,!•^,.?•:1?i?•it i?•P:•n:i,:i?-*i,..},-*i?'N•it*it 3f*i,:N:*;n• A : .: ' C;;T•r O ± ************************44*******.... ..
{'i...E._..:!••! ! .!.i_I I,. ih 9?•iR-}?-:}?•?,r i!::-1 7i•lF 9N Pi•}'•!h 1{•9,.•Ji•ir-j(.:Ir..,r.:lr..j:.j:.;!r jt.j.,•...,,:i;•iE i„i-}G:i:;
:.rITE ETRE E: = 58:96. #::. 15TH AVE !# •i .u._.. ••i-rI:::•;. -
ADDRESS=,ic:::: SPOKANEWAi:.?'92i ` :
PERMIT USE= SEWER CONNECTION
•'JI'-n:ri' s E E NOTE *i?*
B i I._()C i;: :: ZONE=
••:: • .,�--..
ARE6-4 OF 00013600 {..f A , { I 100
'i,moi ±”.
OWNER=.'_- #:{ s::;'r it.i��} RONALD I i { 509 53 2533
:. :IDR�'i, 5806 :. WA .•;92!"2
CONTACT
NAr. • GOB
ERS'; fl. : . ; OIL
#+ + ' 509 r" 5372 3 '
BUILDING c . „ :r { ' r " IY LEFT= f RIGHT= NA
7A*j * 1 ...N 3 * fP .jy ..A . yj : . ...bnREVIEW INFORMATION
n± OF ' " j : f : :1,;*•h:*i!;•u n::,;*•n::,,:*-N:•ir:•ii•***-i,:• ,::A:-;!:..j,..:1,..j,•..j,;
DEPARTMENT REVIEW COMMENTS
CO.M # , ; ` - :rOv ° _ COMMENTS
•
UTTLI . .1.1-.'c CONNECTION AGREEMENT I'L!E#, I..I•I ('l } ....._............................._... .-..............._.. ..
q fh' blJ tAFk k nC**NP : yL (jq (x {*hSEWER "iRr ! f i1pJi i
ninip / nnuninn ? ?) k* tr: ;i t
CONTRACTOR= GOBERS FUEL &
OIL # 24 537
STREET
11215 E
f
TRENT AVE
ADDRESS= SPOKANE WA s ?:
: i
ITEM.. M :1±::•,.:L.:!'_Ii' # :ct.!I'V QUANTITY I"•{':'I-' AMOUNT
F:Pric:Ei ,. •�� . FEE i �;;. ? ,
F:.WEF°•° 'CONNECTION
#. ±
TYPE I::-I::F:: AMOUNT A±"fi:lI..JNT PAID AMOUNT OWING
SEWER PERMIT 50. 00 ,r}
50.0050,00 .00 50.00
PROCESSED BY : JOHN LARSON
!
,:
PRINTED i.;•f : JOHN i I
SEWER S # UB AS—BUILT
i ' -L R `A iIN
IS AVAILABLE nF COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR oR :=I: 'Cf' N O AND CONFIRM THE
ELEVATIONIAND is} P O_'3 t I i'i#':} r i l l iSTUB i PRIOR{ ± OTHER
TO {--.O i-;r• i F:. BURIED I_:"i I:t.-.is::` r:;r ' PIPING, WATER LINES,P ECT ,
#
LE
CALL c#::.r!_:!: :. YOU DIG (456-8000)
> . WER , T I
} ARE TO
BE CHECKED PRIOR
FIOTtCONNECTION TO
°F
THAT THEY ARE Ir # AND UNOBSTRUCTED TO THE SEWER MAIN
*i?•*'hi*'A•*** CALL FOR+F'; I i J,:>P E t..• t I i.;N PR_Ill'=.' TO COVER n-*3,:•u•N:•x•*in;•}t•.}I•
24 HOUR NOTICE REQIRED **.
456-3604 ir:•jl• a!ri„r*Pi:i7-ji•1!i
.**jr..ji.;5i•.*?4!i'1-*9t)k:,t'i,t''N**i1'i!•'If'ifP! }t•)}'ii•;i{-'i;ii•j>** THANK r irni
i ; , r fi } ity i *: y ** Fpa ;* ii1i *w j :}