1989, 12-04 Permit: 89004759 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 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 f7ATE
!•-. :n, ECTNUMBER= 89004759 DATE= 1 89 PAGE= 01
I,r'SUI::.:i:! PERMIT
: 99 9 k 4 *) * ;1 , ! tk: : ff pp: E 1 i * k} 'ER' IT INFORMATION •!R•*:4•it3t._;.*1{.:}i•j!;*i}-]!i•p•jj..n::p:.;r..;t.:}t,.!!. *!!.
SITE
c................... 1 ^;:•,:; ... :.}t::..,..,..! _.. 28544-0207;
,�. !. � :.: i #''.i::.I::. 1 :::: t ::..t:. !•:? t::. ::. ..> 1 !. AVE!:.1't I::. I"'Fa i';:!_.1::.L..it_..
ADDRESS= SPUKANE WA 99206
PERMIT U:.:•t::. ;!EWI::I"•`. CONNECTION ).i.SI..Ii"Ir,{N MICA
INTERCEPTOR
PKG ,•7,
(.•) " SEE NOTE: it•*r:
PLATO= :•.:, ^•:t'/'" PLAT N'ii ;'r'i;' WI ACRES •r D i;i
AREA= 00000000
•!!• OF l:ki. i't•r,:r.... ..!• t;!Wt:_L.......NG,3,.... #
OWNER= STENHOUSE, ..-!i:3t..lfs PHONE=
STREET= 12210 E 25TH AVE
ADDRESS= SPOKANE A. WA 99206
o
:-;0
CONTACT NAME= CAROL .... TOM 1"� :.: # t,i i�I::. PHONE NUMBER= .:.,. ..: r : !:
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR:: NA
?_•:9;•1Ff'Pi'!i:'}+::+}'F+:'}i:'}+: +:iL')M1 4!::!!:•}L•9k•!+:P:*4t:+t!h:++i:}+.;+i:}t..1+r:++i SEWER( !' ***:******:k*:********:***********
CONTRACTOR= 1 STONE ixt � � ? tf ! 1=`"_ l`?1 ::: .t9
. : 8 771 ,
,:i E ET
1 .,: it '# •i t"#i:..i'1. t",'D
ADDRESS= SPOKANE WA 99216
ITEM i.-.M Di:::,`:•CF:!S.r'T:t.ON QUANTITY FEE AMOUNT
PROCESSING FEE Y 10 .00
SEWER :'i 11 J 1'1 is C T 1:€::!N':F 1 40.00
.p::!+:'R'.}k:++:;p;'}!:'!+.-:+if:!!.-i9:•?!:Qi•:!!:'A.},4+.:!!:;Uk'P:"+•* 3k:4 7t i+:*'Hi i (•!1 1 1 i::.t`•i i SUMMARY :.
PAYMENT DATE I::. RI::.+..:I::..i:i I '!t' PAYMENT AMOUNT
12./()4/E39 6092 50.,00
TOTAL I {:}L 1?t.UE:::: 00 TOTAL Pt•rIii:::: 50,00
PERMIT! "i''i' FEE AMOUNT AMOUNT :-. AMOUNT i.i 1AI T N G
z:I::.Li!:::i t. i"I::.I":i"1:r t 50:.!v:?() 50,00 a00
%!0:.00 !!50,0() AO
PROCESSED B,• ,...Ui...7E SHA'i'rO
PRINTED • JULIE SHATTO
SEWER
STUB AS—BUILT INFORMATION���..' �.�• AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR O,.; APPLICANT +. ,., T O LOCATE A t J ii�) CONFIRM 1 I:_ i:;'.t•%{ ..i.I_i i:-
,..!!, , ,., ! ,.! FIELD 1'•. i.
`
ELEVATION
i . r : CO: ; :, POSITION OF SEWER STUB PRIOR TO ANY
EXCAVATION
TO LOCATE BURIED
CABLES, :AS PIPING,
I ING WATER LINES, :, i
,
; :, tBEFORE •O ! DIG (456-8000)