1990, 03-29 Permit App: 90001167 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 NUMBER= 'jt;il•il• 1 6 DATE= 03/29/90 PAGE=::. 01
APPLICATION
9P$ *'}!'jC44 C$ ) ) : ) 999 . *p } :.!?.•IR$ Vi ? 7iAPPLICATION : ijYi PP: 9 } } ) : *71 :? 11 !:Ai j
j **i .
SITE
iT_ { _ri { . 12508 F 15TH AVE : a! i = # .
22543-1406
ADDRESS= SPOKANE WA 99216
PERMIT i..iSE= SEWER CONNECTION 8H301
)i•:i'j!: .'i".t". NOTE *3i''!
PLATO= 001345 :E FT NAME= Jc { dADDAREA=- C;j t.i(:j•t5{;j{1 :. i• Fi= WIDTH= I ,/-i DEPTH= i }0 R!'#,:1= 50
0
4 O- BD '.'.... _ i F'•• DWELLINGS=
OWNER= # . a YB# 5 D, _ F , {: #.:•HONE= 509 924 2236
STREET,, 12500 E 15TH AVE
ADDRESS= SPOKANE WA 9921 6
CONTACT
iJ n _TNAME= i E iN1 . ; . RIGHT=PHONE NUMBER= 509 } :r 8964
BUILDINGSETBACKS : FRONT= NA LEFT= NAN ' REAR= NA
.; P... tpkP : ) Pia: . P499Ai 4 : Pi: ; ; ; SEWER "FiM # T ( E Pi Pk PjakPiP! iPR 3uPk ? iP :ji Pni .
CONTRACTOR=
! u R" r OR: t . CONSTRUCTION :' 0964
• :.::Es= SPOKANE W A 99206
ITEM DI::.SC RIIF !.ON QUANTITY r•f::#::. AMOUNT
PROCESSING
SEWERC•I..;NNEC::..i FEE
i 40 ,00
PERMIT g t"E FEE AMOUNT, A ti."fUNI PAID AMOUNT t• O I _7
SEWER PERMIT 70 .00 .. :jz:) 50 , 00
50_00 :.00 50 :0
PROCESSED BY : JULIE SHATTO
PRINTED B : JULIE SHATTO
SEWER SvU: AS—BUILT i ; iiATz
IS AVAILABLE AT T#..E E COUNTY
• E..; ; IL.t. t .Ce:.., DEPARTMENT 456....::60 )
CONTRACTOR I_ii'=; i..?i't H"P i.J.i:e•t!
., ,
EXCAVATION
TO LOCATE E BURIED CABLES , GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456- 3000)
'EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT E r-tEr i•'=.R t-:. CLEAR a r N;..! UNOBSTRUCTED TO T hJ E SEWER MAIN
P.it•:u It A:il p.:t;. CALL #'I i INSPECTION PRIOR _T.l::i COVER at•ii it't a!::4''It-P:lt..j
..................
24 HOUR h Ni..'.}.I(.".•#= REQUIRED1ii'is' r:1 sit r* :li-
!:'j; I :1!:t!:•P:-j¢:tt: 4 5,":—36()4 •P.'jl--P:ik:!4.!l.jr..P:Jk jt:
1.c fk h1A: k} P ?•.!!.: 9C 9 ..};..} . .f..:.q.-: q p } ir:. r jTHANK aP} r7yY 1L9y : i } : 1A! i {1 :.!{......:.,i.. a :; Y! {i } t. *1 l 1P