1989, 08-30 Permit: 89003128 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 any subsequent
Inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provision ny state or local law regulating
construction,or as a war :my of co or•:nce : islonq ny state or local laws regulating construction.
SIGNATURE OF ` � : '�� APPLICATION c I
OWNER OR AGEN • ! � HATE
(D\
PROJECT NLtBEf _ 89003128
9;i _ 12r :hTE " e / y �i9 PAGE= f
IsEu D PERMIT
)k•h.*)£•*),...*-h'r hi),;**)i•'h.:g-h.•),;•tr•!tr*R.)r.*)j..j,,)r, F PERMIT INFORMATION •*•7t:.x')t)t is h••lt'r 1i)Ir•)ti•hi) .h*:{• 3i..lt..x tt• .x h.***1t:
SITE
STREET=
..,.. .. :•i 9 r.. ... i..,::'f at.".. 27542-0215
S�.7 E:. .S T!''•.�:.E:.T �:: '! ;..7 '! ,;;t {:.. 16TH AVE�l::. !'���i i t'..:L..t...•n'_..
ADDRESS= SPOKANE WA 99216
tJ,`SE:::::: EWER CONNECTION .... 880
• ** SEE NOTE •1:.)tn.
I'{.»ATI1:= 001 842 PLAT NAME= OPPORTUNITY TERRACE:: 1ST ADD
BLOCK=i;-:: LOT= 1 ZONE= AI.YStJI:: DIST:„::::
AREA= 00000000 / g _ FWIDTH= n > DEPTH= 135 i
/W=
OF T_:L..T.7ix,`.•>':::: :„ DWELLINGS= 1
OWNER= PHONE= 50 924 1906
STREET= 12918 E 16TH A5v E.
ADDRESS= SPOKANE WA 99216
CONTACT IF :. GENERAL INDUSTRIES PHONE <U{ L1= 509 9, A 8385
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
N.*)t'.x.)i..p...X)t•)i•)t.)f.)t.X X*u.hi K:P;*3+}:h.)`i it$)t X f.)$.p: SEWER f'E:.RMJI )f•h'r K.)f•K k•.i).pi:;.............:;•)'''. .X:•.)t• . ;I,f
„ CONTRACTOR= yl <E ,, INDUSTRIES
rJJSTR. Lw ! Y( PHONE= 5C9 924 33i :
STREET= 'i`_'.>C ii E:. 1ST AVE:
ADDRESS= .)P(.TKANE. WA 99206
ITEM DESCRIPTION QUANTITY f:•!:!E AMOUNT
•
PROCESSING FEE `I 10.00
SEWER CONNECTION 1 40 .00
*ii•h.#..p..)4.1i:H.)f..I}..k.s )!.:q•)i;•),.:rt fi.§ar*.p..)t. *h.)i•)*) t. PAYMENT iJ M M A R ti ..) ')t.•....}e)t•-lt- .)t•),,.*)f..*M 1t'Jt-3,.)t'yf..yr..n..*h.7,.....)f.
PAYMENT DATE IECEIPTO PAYMENT AMOUNT
08/30/89 3870 50.00
. PAID= r-
TOTAL DUE= .00 TOTAL... .+t!,••r>.,.+
PERMIT I tiEF trAMOUNT . MZUtT PAID AMOUNT OMIar
EWER PERMIT50.00 50.00
) E . 00
50,00 50, 00 . 00
PROCESSED Y JULIE
,._ S ItI..
F'R J.N 1.E D Y : _!U L.!.E:. SII A..(...(C)
SEWER STUD AS—BUILT INFORMATION IS AVA:!:L..AI:tf...l..: A.T. THE CCT,-p!»(..7:
UTILITIES DEPARTMENT (456-3604 )( 4 5 6. " J; 4
CONTRACTOR OR APPLICANT. I( AY_ IS TO
FIELD LOCATE AND CONFIRM
ONFyRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
r:::.X(.:A Vi I .!.TO
LOCATE BURIED ..:I••i ...,::.,.: J .x I••i,.: PIPING, WATER LINES, ECT.
,t:_ r..t.. YOU )• +" (456-8000)
CALL T..'l...l::�l.t 1'�.l:« , '..,t.. .l:lY
JOB ADDRESS: / 2 9/ d —
SUBDIVISION: 4-7 541Q_ - z)a t LOT : BLOCK:
OWNER: ��2 e / /l7/ PHONE: 9,2 c7- /9
ADDRESS: �� l o2 9 / - 7-17'
CONTRACTOR: ES PHONE: F215-
ADDRESS:
215-
ADDRESS: 9,�()
LICENSE # : 4t/r'/C ,1 /Y7 7 4
INSPECTION .-
DATE:
TYPE OF OCCUPANCY: 'Er' ;62 ��