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1990, 03-12 Permit App: 90000849 Sewer SPOKANE COUNTY DEPARTMAT'O4 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 !='(i(:1,.11:"(:'.'1` NUMBER::: 9;i ii;:}} f:1• r>' , x �.-.. t..(moi l.)t:....:.: F.i S APPLICATION •}!?C'it'•ik 7t'k?•*7t.j;.j•,•.7}i}t•1i:*i}i'3• 1?'7;•J}i)i•7}r 9[•ali!}r:'i }i•)t•* A±"i' i..... 1 ±'•: Jt'fit'9}:if..yf•ill••11'i{.9F 9f,••Jt'9t':4'?t')t'9?'i;':}t'7f::>r-*iu.j•.;ei••}i•t+i 3¢iii:}¢•?}}if*')f• SITE STRLLI = 1600i E 23RD AVE PARCELO= 27542-1930 ADDRESS- SPOKANE !.In 99216 PERMIT =, :':' E CONNECTION ..'• ,'i: !j PLATO= 00-1846 PLAT Nhilil::.:::: OPPORTUNITY T�T!': ERRA[::E 4TH :,r: A BLOCK= LOT= 12 ZONE- SR DIST4- l FiE:: i::: E'/r:i.-: l:- WIDTH= 100 DEPTH= 126 i:., ! ..:, :1: I:ii.: (, 1(.:•' 4 DWELLINGS= :, OWNER= BOWLES, ' PHONE= 509 922 3317 STREET= 13007 E 2..5RD AVE ADDRESS= SPOKANE WA 99216 CONTACT NAME::::: CARO!... TOM Tc:lNEExt.:;Avfi'r'"'f; !='Hni'w Num ...,•_,; r. BU.I.i...DI c; ,•E ± :iACl{S : FRONT= NA LEFT= NA RI±::HT::.. NA ±'+EAR :: ;JA .***************************if,* ...4t.!E R PERMIT :ii:ai:1.•i(.:.f_*:N:-Pi•li•3tr it*it:•!{•i4'.';}r..•Pi'le;•j!;}f h! •Je::u:'t!;;ii.;i(..}f,..jt. CONTRACTOR::: TOM STONE EXCAVATING i=HONE:::: 509 92O • 711 0 STREET= 1112 N MAMER RD ADDRESS= SPOKANE OWA 99214 ITEM ;Ea : E ; " ( J r"!tN" _ T ,.IIAMOUNTUJT PROCESSING FEE 10.00 SEWER CONNECTION i 40.,06 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT COWING SEWER PERMIT 50.00 , ?t 50.00 50,00 50,00 PROCESSED BY : JULIE SHATTO PRINTED BY : JULIE SHATTO SEWER STUB AS—BUILT INFORMATION :r AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604) CONTRACTOR O , :P • } f 1( IS TO FIELD l ( ( ATENitCONFIRM T . ELEVATION AND P(:1,:I ± T.(:1i:± OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT. CALL BEFORE YOU DIG (456-8000) t IWE ± ': :: : - ;, ( t 1CHECKED PRIOR �R 3ttCONNECTION ( INSURE THAT 1HEY ARE CLEAR 1" ) UNOBSTRUCTED TO THE SEWER MAIN '*x ') ') ta ( i11 , :, tINSPECTION PRIOR ( l COVER i ; ri; ; trPp i *7 ) 7ie? * ; 4 d: 1 ? NOTICE REQUIRED. t 1rikrxiu .5 ..v ?a;St••N iui iryi•;t• }r'k 9f :�_.. t.....ti=i,{.).�I .p:.j�..!$tn.Pr 1}i iur:JI...},,:p: •t.. .t 9?'9}:'1?'92':H:)f:•J}::}}::}?'fry 9t 9?'•J}•y:•)r''JL-Jt'i''.}C•7t•1?'3N*9t'9}:•J?'}!'9•:3}:•P: THANK i ±. I ?9 4 7 9r it7g ? ?J Pp. jg J ` F J :}t'} k M JP*lt t JOB ADDRESS: - � 3 © 07 S 1--)0/F SUBDIVISION: )'75 ^ ) 9 -3 LOT : BLOCK: OWNER: ( � c_ -� � Cj PHONE: q?2 �� / 7 ADDRESS: I Ci) � CONTRACTOR: / PHONE: ( (a ADDRESS: /. ! �l / -- � LICENSE #: ( 0/ (.J ! ( INSPECTION DATE: TYPE OF OCCUPANCY: