1990, 10-01 Permit App: 90005015 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 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 permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
..:...;.. : E:33,33: 33,33.. 3333 3333.. .
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SITE
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SPOKANE WA 99;:)6
PERMIT _
3333 ,•. CONNECTION
••:: ,.. .. .. ;t•!' RESIDENCE
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USE= +3333.
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-4TACT NAME=
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PAGE= 01
APPLICATION
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115 N FARR RD
SPOKANE WA 993333. .
rt..e...1... S.I.MPS€.?N SANITATION
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BALDWIN
AD :f•R F:::::. ,.. ••AiA. 9921
ITEM DESCRIPTION
PROCESSING SEWER : (::i j'4 j- E : i:':. :F:::i N
.... SEWER............................................
BY: li IH1'v
FEE
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3333 333350.0050,00
SON
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PERMIT
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PHONE= 509 926 •i4,"5t+'J
PHONE NUMBER=
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RIGHT= a REAR=
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QUANTITY
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PHONE= 509 926 4781
FEE ,3333 AMOUNT
10,00
40.00
... .PAID AMOUNT wrN_
-------------
„00 50,00
'10 50,00
•-. :-,-:•: , :-. :.:•, -:-.: , .,. ; 3333 INFORMATION , .. ,._
t.?�5 ,, ;;'}... i AVAILABLE
Ar I MEN•1 (456-3604)
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CONTRACTOR : •y : .::.a .r.:... t••; : •• ,-•. APPLICANT
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ELEVATION ND P•i.?,•.1:.1.F.t.li•'vl t..!!” SEWER 1,.?-.: RIOR TO. ANY i..±1P;I:R
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BEFORE TUU DIG
CALL
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THAT THEY E ::+ CLEAR I t j�41
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