1990, 04-23 Permit App: 90001603 SewerSPOKANE COUNTY DE9ARINV!ENT 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 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= ? :') E) 0 i ,'} r:;:5 DATE= 04/23/90 . PAGE= (:)1
APPLICAT
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SITE STREET= (_ .4S'/}:OXRTD {��°AF��(I:�:{...:N:==2i541-1735
, iT) .. ,,... i` ..r(.T < h N : 1 { c 99206
PERMIT USE= SEWER CONNECTION .... A001
**3i: SEE NOTE ii ii• ri"
PLATO=0013.15 PLAT NAME= Fi+hrSUB OF :€L. DLOCKE 191&192
BLOCK= LOT= ZONE= ,.. ,.,
00000000 F:'/A= {:: {,IIT.;'(•{..i= 'r,^: Ti{:.•r:,-{•{..1== i37
CL1:1: F'F A1.I , HMS` T h E:: E:: T ::= 408 EFOX RD
WA 99206
CONTACT NAME= LEONARD .... H.& w:NA-
*****************************
1 .
_ L':. NUMBER= ... 926 :'J 9 .. <:
BUILDING ; E:: i i:� r`i C.: It ,`.;• FRONT= i t. f i {•J • T • :::: i`•d; A LEFT= F:.. ' == iJ rhe RIGHT= (:,. I•-{ i' ::.. r�J i• ; REAR= F: r` { ,.:=:
PERMIT A
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Ar)rii i:::::: =:: SPOKANE I,, If^: 99206
ITEM M Til:::,° (:::RT.F T:I:i::N
PROCEEEING FEE
SEWER CONNECTION
PERMIT
SE::WE::F{: PERMIT
F'F (::Ic:E::S';:' E:T? BY: ...IUJL..IE:: S'F•lf T"('(:i
PRINTED BY: JULIE ,:`I"{(i'T"(•Ci
?ih NiY4 k
iPJe9i
PHONE= 509 926 A964
4
.A
10,00
40,00
i t 'i(.ii.IN ( AMOUNT PAID AMOUNT OWING
50,00 5
0 00
50.00 ,00 i';) 50:i)i:i
"EWER STUB AS—BUILT i...I:I.I...'T• :i:i'JF'•CiF'r"14i•T:E(iI'•1 IS AVAILABLE F'{..(. ..(.L.IE•: COUNTY
UTILITIES DEPARTMENT (456-3604)
C:(:ii`-?'T'1.:=A1......('CiF: OR APPLICANT TE rc F'..r.F:I...TD I...c:3c::A_(.E: AND CONFIRM THE
ELEVATION AND {::' C3 E :ETT (: N OF ; ' EWER E Ti l i:t PRIOR TO ANY Y (_i_(I.1I:::I:;'
I :X(::A VAi.T.:Tf
(i LOCATE I E T::1.I!•';.I:E D (::Fioi...iEs , (::F ;:: PIPING, uWFA'TE LINEE, {:..(..._(.
CALL BEFORE •ttlr ).DIG,(456-8000)
:;EWER STUBS ARE TO TSS1..: .,I"IF:(::I<.I::::(1 PRIOR TO CONNECTION TO INSURE
THAT T•I..II:::Y ARE 1: C L_I...i l r1CJT; F ire.++f B' T'F1!( (1 ) TO THE {E:: .. 1...IJJI 1 MAIN
•)G'Pi •A Pi •h:• * •1t )i b:• CALL FOR R !. i ? F•' F:. l::• •(• :E (:1 t•J PRIOR TO COVER fii R •Nr •Ai •Jk •' ii• i1 ii *
")t• 35. 45' 45• * , 1i.:Ji" 'P: 24 HOUR NOTICE R1=:1 1.I:I:F:I:::T? .;,. ii• i?' n' ii• fi.:yi..;i. ?i. *
•)i• •i4 'ifi R•) 'Ai "ifi •hr 'if:• 456-3604 fil* * * 3 t :
....................
THANK YOU 4 * ) Ji J * * i * * )* * * )i9itRi E 1 t n 9 i k R1")