1990, 05-16 Permit: 90002123 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. I understand that the issuance of this per pplication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of a or local law re ulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
PROJECT ! NUM!. = 90002123 PAGE= s:
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INFORMATION :tnr:h ;y{t :xn }t*l:t:};;:t ::*
SITE STREET= 2419 E E'
DAWN L. N i•' ;::t !": t.: t::. l._ „: r.:: 26543-0202
'DDRESS.... VERADA , . • :. r r
9037
PERMIT tJ,::1::.::: .EWE!-: CONNECTION
SUMMIT AT EVERGREEN POINT
PLAT4= EVEPUD PLAT NAME= SUMMIT AT -EVERGREEN POINT
BLOCK= :: y = 10 ZONE= PUD DIET4=
CONTRACTOR= 4 R
STREET= P. 0
EPOK
ii1
f-? F SINC
n
99214
PHONE= 509 922 OW:;-:..
PHONE NUMBER= 509
LEFT= NA RIGHT= NA REAR= NA
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-408.
— 99214
PROD'. ,ING FEE
CONNECTION
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t .n: .k:.i. n. ,..r i.�kt.r.i .:.t.t r.:.P.•k.k.a•i.PAYMENT DATE05/16/90
------------
EEWER PERMIT
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QUANTITY
PAYMENT SUMMARY
2483
FEE AMOUNT
................................
50.00
....................................................
50.00
SEWE
F:}
PHONE= 509 922 0782
FEE AMOUNT
10.00
40,00
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i i:l .•i f'? I_. PAID=
AMOUNT PAID
50.00
............................................
50.00
PAYMENT AMOUNT
70.00
AMOUNT OWING
-------------
,00
AS—BUILT INFORMATION TS AVAILABLE .L..Y'iBL..t:: ( i..I. THE COUNTY
DEPARTMENT (456-3604)
TO LOCAT
CALL BEFORE YOU DIG
APPLICANT TO FIR.°
POSITION OF r ixi::.''e';
11..117
qCATE AND CONFIRM THE
:•::. •. ,...;., GAS
PIPING,
WATER
-8000)
..................
AO it
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PRIOR
04
rNEs, ECT,
,j :INSURE
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:* ::tih Sn::* jjh ii::ii* : ! h t * THANK .
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