1989, 09-19 Permit App: 89003452 Sewer SPOKANE COUNTY DEPATMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto 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 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 f)ATE
PROJECT i 41.!!?i»'i...i':,.... 89003452 DATE= 09/19/89 PAGE= ..
APPLICATION
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SITE STREET=
12603
_.; ...r.H AVE ? a i••. ..I t«.. 22543-1235
ADDRESS=
D: .? i :. i, ; :! NFx99216
L'i t::'F;:.MIT
...i. ,:.-'c:.... . }i i_.}.., CON N:,.i i.:.j..,....i.i. i i
.... ,.:L..LA=L..i": {.:'_!!'.!'?E...1.: i S.L.!i': 8:301
`#1''}:)i :`E E NOTE is:S`:*
PLATO=i ! .ii.._. PLAT !'.i'•ii'}L_».. :..1.!E l'«Y L..!?v i..f D i
BLOCK= 2 LOT= : } y _ a . : i A : ?„TH . i...
AREA= h_ IWIDTH= ! : h DEPTH= 1iY . !.
nLlB 3 Y r _ aDWELLINGS=
:
OWNER— Y1" : : t :CPHONE=
509
! '; -!
STREET— 12603 r; 15TH a 1,`E
ADDRESS= : !K! ?LWA 99216
CONTACT A: t ",.•!E.... LEONARD .... H PHONE NUMBER=t}BER.... r3':: 926 8964
BUILDING ; « .: CP ; FRONT= " LEFT= ' RIGHT= i zREAR=
3
if`?'. ipjiiyt!•` ! ] :? jrNL 1SSiry* i/:j ) }(3:......... .' PERMIT r] L !:j :S-ii :k 1*a3r44 .::.:{•..:.* t ri v
is ?} :'
CONTRACTOR= r< CONSTRUCTION PH -1i'. 09 926 8964
STREET=
•'i•E;,r"i.».... 11817 . i ,....:j i I v .: AVE
II
ADDRESS= SPOKANE WA 99206
rT » DESCRIPTION ii ! p _ r ! FEE
AMOUNT
PROCESSING FEE 10,00
SEWER CONNECTION 40,00
wr.I.. TYPE
;r.,... ,... " AMOUNT ! i..r. f'•,A 't 4.r'i i i:a t__ '}E,i I'
..r'i"• 1 Y : •: .v i.. I:.c:E. rt I 1. 'r T'•: .t. r ?i!-'
PERMIT ! ! L.. ;...L.. r•sl`'IL}'_!t'? i i'i•'ia.s! �-ii s'_ii.!i`: i »..!.i.i?LY
SEWER LMIT 50.00 .00 .fx _?
50,00 .00 50. 0C
''..
PRINTED 'r'''-! - JULIE ..r."r.r..i
y,ix
SEWER ` iAS—BUILT J .LiIA" x _ TIS AVAILABLE " THE COUNTY
i . iF L . i DEPARTMENT 1
$ l
v-364)..
CONTRACTOR OR APPLICANT
r . 1C1 T ? S TO
FIELD L
I « E i " A T r a N D CONFIRM rE
ELEVATION I••i e•;!.: POSITION O 3 SEWER STUB PRIORTO ;••{N• OTHER
EXCAVATION" LOCATE t , « . S CABLES,
: ^ ; PIPING, : , E ; LINES, .
,
_
�,.
CALL i. R. 1Yz
S (456-8000)
SEWER
. {, R ; i Ti ARE O BE CHECKED "CeR TO CONNECTION . INSURE
_ " 5THEY i _ « CLEAR 1 kUNOBSTRUCTED
F !„ ". I '" TO ESEWER
'A _ : . i;
n f# ^ ; S 1 } : CALL F O R INSPECTION
1 » »CT. O, RaiTO COVER jS.
.. .. ........
24
4 HO, NOTICE
r.i.T.., ..•E... j«E.:, F R _i.
::ti.j?..51:.Li.ii.:kl.::r. .::i. 456-3604 i..1i..*.j..`.i.:::
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JOB ADDRESS: 1 -403.. 1
SUBDIVISION: LOT : BLOCK:
OWNER: to lii) PHONE:
ADDRESS:
- PHONE:
r r r- `�^
CONTRACTOR:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: