1990, 09-04 Permit: 90004364 SewerSPOKANE COUNTY DEPARTMENT OF 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. l understand that the' uance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or can ovisions of any state or local law eg let' ng construction, or as a warranty of conformance with the provisions of any state or local
laws regulating constructio
SIGNATURE OF ") ,,// APPLICATION47
OWNER OR AGENT II. �� / "'�� DATE / 172)
PRO,_lEC 1 NUMBER=
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i:c Old D
ANE WA '
PERMIT il:T USE= ,E_G,ER CONNED
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PL AT N
DATE
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—MICA INTERn
VJl:Gl.liil:':k' ADD
(3t4NER= t':CGLJE & SONS CONSTRUCTION
STREET= 11908 E GTH AVE
ADDRESS= RES SPOKANE IA 9 206
CON1 i..;i NAME= PHIL Ir T.I., l.il:
HU3.1._i):Ci,i: SETBACKS: FRON'T':::: NA
.)i..k..)i•) d')b))t')E $@'R''i8 )i',.* 1liN'Pi'***):i**)l':*i:)di'dl'*
LEFT= NA
SEWER PERMIT
CONTRACTOR= J I-1ESONS CONSTRUCTION
STREET= 11903 It 8TH AVE
ADDRESS= SPOKANE WA 99202
TEM DE:SCRIP'TION
FROG ?:: ,?i:r; FEE
SEWER l:' Ci l\ i..! Iiia:; T ION
N
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PAYMENT DATE
09/04/90
TOTAL DUE=
PERMIT TYPE
SEWER PERMIT
I'R0C'E:
i'f;l:i.
P
T' 1.1:
dONF'= 509 927 7433
PHONE NUMBER= 509 927 7433
GHT= NA REAR= NA
)(•:•le•:-i''P:'p)itin)i')drrd•):i)hd,r)e :Pr*'Y)'P)'P)P)-e ': le)l')t)tR'
PHONE :_: ':;,)9 927 ',.1:7.
(1!iAN.T.IT.V : F.:.F: AMOUNT
10,00
l 40, i;)0
`ii..;? PAYMENT SUMMARY
RECEIPT`
5219
,00 TOIAL PAID=
AMOUNT I''A:1:1)
....................
50 00
00 50,00
FEE AMOUNT
)ff ,1....)t ii' •) ii' )i..) •.) .» •)i..)t i':.u':n:.)i..)i' }i..h:' i::'fi' i::'r i::
PA Y i•ENT AMOUNT
50,00
50,00
AMOUNT OWING
O(;)
,00
BY: IIIGtJI)i: L..: GLORIA
BY: L..IFi:NDEL , GLORIA
.. 1 l...l ,. .. , FORMATION
...A ...h AS—BUILT ..l. IS AVAILABLE AT THE i:::!.i U;`o -(,r
UTTLITIEs 1i::i'ARTMENT 456-3604)
i_L.I .. fr:i t.: i:_l R OR APPLICANT .IE! _1 !......L.. / LOCATE AANDI_, _11 .':L,�f,
ELEVATION !ON AN1„Jn POSITION OF .l_uii "UR PRIOR TO (tNY ftl!'IE!
EXCAVATION
lti'.i.i tti
iTO LOCI:. T. BURIED I
,,
!_;191.1. ?K L: :.I )!. t. YOUTJI .; L.>r 3(?r1 t9/
j::r F:t l' :I, NG, WATER i...J. i4P
I
T
:ti,...l :., ._.: PRIOR TOTOt.. CONN,. i':ii::i:::..r :r TTOI'.)>'i
C:. elf:. '. ,.'. Il,i 1; <.:. ('1i.6:. TO CHECKED
HAI "iI'ii=:Y i4;1 CLEAR AND UNOBSTRUCTED T'(1 THE SEWER MAIN
r ,.
di)&)i�di i. :(Ai7Y' t. f'u_.I_ FOR INSPECTION PRIOR k, 111 COVER (. 'ii d': rt StnJ J;m: dJi )i:
*******?,x* {,y HOUR NOTICE REQUIRED * *.ry 9f dk'ki vi )t dt;i.
t¢tMt: !ffi 456-3604
)'_Jl(luk"PR d"RARy ]
*********************•
. THANK t
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