1989, 11-27 Permit: 89004354 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 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 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 and anysubsequent
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
OWNER OR AGENT APPLICATION
DATE
PROjECT NUMBER= 89004354
::
DATE= 11 /27/89 PA(GE::
i!;:'•ji:.,r F;. .i„: (;i f ji•if 9f:,+:.i.:::
ISSUED . E! t..{. i ..
INFORMATION i•`f:� 1=
[....I..^{....1Eul._...111 ..
A 1 . .4 ... F 1
f n 1, • trSTREET=
„ .ii , 5 15THAVE_ ar :43....141ADDRESS= SPOKANE WA ^9jI
PERMIT USE= SEWER CONNECTION .... 8801
'a PLAT NAME_:: ,.fOR[;;::'N,'.: ADD
AREA= (:}fL:;,c;,C.y'•i;•• .. ZONE= l��rl:r,?sf.li, l::'1:�:,:i��'.e.....
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DWELLINGS
:, WIDTH=L.+.. .+ +r1..• !
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t t'!;{::r• __ 12620 i.:L.I Ci I:,�E= 3 i'1`-rj ::i”
15TH A iy i;”
ADDRESS=•• ` Eilt_ E... 992
16,,a
CONTACT NAME= SIr{ 3iN SANITATION
PHONE NUMBER= 509 926 4781
BUILDING SETBACKS : FRONT=
LEFT=::_ {:4r•:r RIGHT= 1;{t::, Ri:"iiiR::- NA
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CONTRACTOR=
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ADDRESS= SPOKANE NE ,,ir'' 99212
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
PROCESSING FEE
SEWER CONNECTION { i +:} ,iii';
-
'y
. .
Lfjj }: i:t : : PEi: i, n1 „ : P }: FAYMENTr , , . I
PAYMENT DATE RECETPTO
PAYMENT AMOUNT
5961
50.00
TOTAL DUE= , 00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID HI zi•NT Ni•
SEWER PERMIT 5 ..«
PROCESSED BY : 11 .,. ._ ,00
SHATTO
PRINTED
>.:{Y JULIE :`,` •i!•i.T._i t i
SEWER STUB
U I { i ! .i.,....,, 1AS—BUILT 1 ,.. AVAILABLE r.
COUNTY
r i,1i:-I' a,-,••- i AT i•�r.
CONTRACTOR O t APPLICANT
i. I::,i_...{.;fsif`}'t'
r
C
TO
FIELD LOCATE AND CONFIRM
" ! F: RTii "ELEVATION ; N1 POSITION � SEWER ; I - :: ( t T1 :; Y OTHER
EXCAVATION
TO LOCATE BURIED t "fi . , . GAS
WATER.
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 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 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 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 fATE
PROJECT NUMBER=ix?l...!..«. v.:l :`t;3 i'. •5 3... a :r,..., PAGE= «
ISSUED PERMIT
SEWER STUBS
FFS ±ij. TO BE CHECKED PRIOR i ! CONNECTION T ! INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED iITHE SEWER ` t• )
.:i+i•i!*ti•1*1**Fli•) CALL F I.!RJ k «E C.}v. 1 i N PRIOR
... TO COVER *3i?i•9*3**i(.;};.j;.j;.
24 HOUR i.(....'t !4,.) t.,l REQUIRED •jl:'!:•1+;*v;:-7}i*:!i
.... .. 456—:3 6 L')•t )?.:Ii-)}. {.:).*3*3**fi.
i:*.1},y;..y*•)*i+*3'............... ...................................):• T 'N( A
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