1990, 11-01 Permit App 90005853 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 provisions includ d herein and agree to comply with same.Alt pto proceed with rovisions of laws and ordinances governing this understand
type of work will be complied with CTION Ewhether specifiedO
herein or give authoritylto violate or cancel the provisions olf any state/permit/application
local lawregulating construction,, ont r as a ion warranty of conforrovals or lmance with thes of e provisions of any statconstrued
or local
laws regulating construction.
APPLICATION
SIGNATURE OF DATE
OWNER OR AGENT
PROJECT NUMBER:::: 90005853
APPLICATION
.. .. .... . APPLICATION F ! 1 1 ! ! N ) 1 1 ! f• ) , ! , ! ! ! 1 3 !
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,E SS= SPOKANE WA 99206
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PERMIT , ! !. ! SEE f::... ,.: is � �. !::.: �: t.:. � `�.:' . I:::
INTERCEPTOR FOR ET MARY'S TERRACE
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• CONTACT NAME— i.:Y r=, i�t: Y` ,;• GUNNING } ..i .. �•i i•1 ` i , I ! ! _ � }... �: 3 .... . .
PHONE ':' tNA pt tI � }' "Y l•) sl :;:j �7 ;:y7950
BUILDING SETBACKS: : Ft ON•T:-: NA I...1=.F••T-:: N(`Y
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ITEM T:tEsCF TF''T.l:ON QUANTITY FEE AMOUNT
F:pff F:::;' TN(:; FEE:.
CONNECTIONSEWER :i
PERMIT ..i.,(`PF::: FEE AMOUNT AMOUNT PAID AMOUNT OWING
:I:.....::.I: PERMIT t -
PROCESSED :i: T : 'MITE... S 1'1 A'f T• (J
PRINTED B Y: ..I i_1 F....F. E:. , ' I'd r Y } i t. s
SEWER STUB A; —BUILT INFORMATION :t s AVAILABLE f I F-.E AT ..}.}..FE COUNTY
UTILITIES DEPARTMENT t, a l,.,....,.,,,04 f
CONTRACTOR APPLICANT 3: ,`. ..f. •j FIELD F... !:1(:.: A ..f' F::: r'`•i i`J T:i CONFIRM i F'•} E.
i.:(:j>•�"fF�:fS(:'"! t.iF't: OR
ELEVATION AND Ti POSITION OF '•' F::: W I::: R E •T U j: PRIOR TO r:'A i'•I •Y` OTHER
EXCAVATION
........ ...
!_! LOCATE BURIED CABLES, GAS 1:}:F:`1:i�1.G, bfit}k:.1 LINES, }:::(::1.:
,; ,Y !:y 6 .._ Ei:� , � , r F )
CALL BEFORE Y !::. I" t_! F�. !::. YOU t.J j::� a. !..,. ., j
SEWER STUBS f'tFR:::: TO :BE:: CHECKED }:Fi:}:Ol: TO CONNECTION TO INSURE
THAT
F" Fr'''.T. THEY f:, R F..: CLEAR {.; i`J T D UNOBSTRUCTED TO THE I~. SEWER MAIN
.t4. * .ij..i,, .i,...i...,r. 1': -n• !• t::11... t... F' t. t F INSPECTION PRIOR ..}. Cj COVER •71 •'n: 11 n; •'n;) '* •i'; •n' in:
7' ." .y;. )'..p. 7' 1' .3 11 .: ` t i HOUR NOTICE REQUIRED '.... a;. i' 3 ir. * );.:,; *
5 d — 3 6', j i .ti ii .y;....n. )i * .i': )i •ii-
****)i)!'********),:*****Pi•P:*)i*)i)?**)i*)i THANK YOU ri•)r'n:*:**•Jr:*x'9i•J,:'r**:'r*)i*)i)i)?**)F-'Ji**x*: **
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SIGNED
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TOPS 9 FORM 3002P
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