1990, 08-08 Permit: 90003817 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 issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel t e provisions of a or local law regulating construction, or as a warranty of conformance with t provisions of any state or local
laws regulating construction.
SIGNATURE OF /A �/
OWNER OR AGENT `� (I( V
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ADDkr.... SPOKANE WA 9-
ERMIT Y TR CONNECTION
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14= 000188 PLAT NAME= ± ; t.. E j }' ; r.:, NS A 11 a j
AREA= 00000000 ,-/A= i•: WI H=
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STREET= PO C:B O X 3882 j
ADDRESS= SPOKANE WA`>' ::'.:j
APPLICATION
DATE
PAGE= 01
INFORMATION f , *; ?i : 8Jtjif;[...: 9r..: r 1;. it• .J}i :'::t: ;t?•
BUILDING;:;_ NH
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F:..i1.::NE NUMBER- li: 9 326 3055
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COWTR.4*:If. —TOR: ±,,: , - 1 ' , CONST i N ::,. DESIGN INC PHONE— ; ,' j ......... 3(....)!..5"-.>
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SP7r E P ¢ t : i Nk t 3PRpp¢ hAk 4 k 9 ) i ip.jPAYMENT
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PROCF
PAYmLN DA
08/08/90
TOTAL DUE=
PERMIT TYPE
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4 i:: . ...
TOTAL
,00
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............................................
50,00
BY: JULIE SHATT
ED 1 1: .i :? !.i i....#. E ,.: 1..; A # # E..1
PAYMENT AMOUNT
50,00
AMOUNT PAID AMOUNT OWING
50,00 ...j0
50,00 .00
A,._•....1: f.1 .i.i..tt. i INFORM # .#.:.+#`; i.; AVAILABLE ABLE A t THE COUNTY
DEP
CONTRACT— 1..1R A'TI... T I.::i:±1yn.
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Sc ER
THE( AR
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TF AND CONFIRM THE
OP. 70 ANY OTHER
TO CONNECTION # ;..; 1. W: 1.1 r; ,..
THE SEWER MAIN
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