1989, 12-12 Permit App 89005172 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 tog ive 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
PRGJFr'T NL. MBER= 89005172
GATE= 12/1 "/S9 PAi.;P.
APPLICATION
#9i,f if iili—)i 9f iE 7ilf 9r df dr if iF)f)f )f k3r if }f kir if'ii—ii—if if •x di df APPLICATION dr§r if if ii��ii��7HHf�,fif#dr if if ��f)f if df �if df if #�if �)f �n]i@8f di��nr
SITE: STRr.: ET= 1106 E: ., ;ET AVE PA,RCEL..O= 21 5x11-0225
ADDRE,SS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTInN
*** SEE NOTE *** I
PL.ATO= Gn) 839 PLAT itir=)M7-,. - R
BLOCK= 166 1. P"== 70NE= AGSUB DIST»=
;i> C)ECPT'I-1= 110 Fii'1,1=
OF BLDGS= x DWELLINGS- %
OWNER:= MACSMITH, I.
STREET= 11916 E IST AVE
ADDRESS= SPOKANE WA 99206
E>HONE.=
CONTACT NAME= L_EONARD -- H & E PHONE NUMBEF = 509 90A 99A4
BUILDING ,SETBACKS: FRONT= 'r>A I_.EFT= NA RIGHT== NA REr'tR= NA
iP lt.R 1P'A"R 9l ik 1k 9f iF if }f .jf .k. Pi Tf )f dt vi?f i-i E:i ..:..::: a i:i i:i :.. I::. V; :. 'i' PERMIT
CONTRACTOR= H & S CONSTRUCTION PHONE = 509 926 cY64
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 79206
ITEM DE:SCR:I:P T":::
------------------------
177
SEWER CO % ..TION
PERMIT TYPE FEE. AMOUNT
SEWER PERMIT 50,00
-------------
50.07
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE ,S'HATTO
_ . '.:7TTY
FEE AMOUNT
AMOUNT PAID AMOUNT OWING
00 50.00
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER ,STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, MATEY. LINES, FOT.
.. —
Cwl._L.. BEFORE YOU i;.l.}, i.'... :.....
NEWER STUBS ARE: TO BE CHECKED PRIOR TO CONNECTION TO IiNSURF
THAT THEY ARE CLEAR AND UNOBSTRUCTED Ti] THE SEWER MAIN
x..f:aix'fs;xtt CALL FOR INSPECTION PRIOR TO COVER afafx'af•x•af'tt•afafaf
9F 9f )i# 9iif if df 7f 24 HOUR NOTICE 'r PUIRET f)i dr if if irdf#if ik'M;@.jt .h..h..Li di•u .456-3 04
7t if ii ii ri )i )f )f �i )f ii ii if )f h ii }f if ii ii if it )f ai k ii )f ii )f 1f )f it THANK YOU U de �)f )P if it a� dr if if �)i� di� �ii� �)f ii dF Y 9f i�} yOi^�i� 9f ii• iE df of )e ii• if �iE 9f df )F