1989, 09-19 Permit App: 89003454 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 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 flATE
PROJECT NUMBER= 89003454 j)ATE_.. 09/19/89 PAGE=
_.1.......
APPLICATION
rc,:!-:.:a:-c.::..•..: :3:a ?: x } a :PAPPLI . rL : 8 ( (j . L r} F ?Iaf .::f
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:.,I F _ STREET= +•i..•i, is F 16TH Y H ;E:' S,;,E'=t"E i .n.__ .y c:. s!..x .L ;j
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PERMIT USE= SEWER R CO1•`%t%i::i.: Ia.I_.t `j .... 8801
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:far SEE NOTE ***
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OWNER= rTt4 ;_ N GORDON PHONE=
619 E 16TH AVE
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ADDRESS= SPOKANE 3 99216
CONTACT N tnl « LEONARD . H PHONE NUMBER= . _ _ . . . :
BUILDING SETBACKS : FRONT= > ` LEFT= !" RIGHT= n } REAR= NA
3 (ti ** a ia7xi dx11is ?ii ) } } i . *i } SEWER » R . t **********K*******************
CONTRACTOR= ON. ! RUCT I ON : { ONE. 509 926 8964
STREET=E:'E..T= S 1 r�1 «' E::' t 2<.t I i.�k(s W'.,. AVE i i?L.. .. ! .... , i i 3... v3{"{{._t.._.. b\f'1 { ^}...
ADDRESS= SPOKANE WA 99206
ITEM T _ i +« : ( IN Q L ? T 'ELAMOUNT
PROCESSING FEE 10.00
S
: O :
_W ER CONNECTION""CT ; 40 .00
PERMIT T !PE F E AMOUNT fF « BPAID AMO NT OWING WING
SEWER PERMIT 50,00 .00 50.00
50.00 00 50.00
3"t'i.i.3 i.:i...,.},.7 i._3.. BY : JULIE s:}I"!I"{ I 1 !J
PRINTED 5. JULIE +:`{..E A,.T(.}
SEWER STB AS—BUILT i FORATIri IS AVAILABLE ,T THE
COUNTYUTILITIES DEPARTMENT (456-3604)
CONTRACTOR ."?±:y APPLICANT { S trFIELD
rr „ » : ,"TE A S CONFIRM ?
ELEVATION
. i ) ^ IiA n J i « y. ; . N OF 7 . :E! STUB CrOlTO ( OTHER
EXCAVATION
TO LOAI..tBU !i.. I :. CABLES, ^» PIPING,
1 " IG! fiA R LINES, ECT.CALL
BEFORE
: (456-8000)v ''v''
SEWER
. 1ESTUBS
, B; ^rz " . BE CHECKED , { 4iI TO
CONNECTION _ .1. i : {r }
THAT
iqT YHEv A ! : CLEAR ^ i. ` Ci " t ( ( _kTi —
SEWER ^ ? +******K** CALL E::'r S I PRIOR 'r...j COVER s.r,:'::;:?(..1(.;c:}'1}:::
INSPECTION
:,.at.:. ...., .l 24
.. {. I t-tE::: NOTICE I"'E':'c iI E'E'i"I:"Yt .j}:.}?i F:k•}f" (•"} iF(';"r
y
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119
JOB ADDRESS:
SUBDIVISION: -- / j CI LOT : BLOCK:
OWNER: 6;&/_j__ )-7/7 727z-1):37:_ a-p--, PHONE:
ADDRESS:
CONTRACTOR:
44 0:- PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: