1989, 08-02 Permit App: 89002572 SewerSPOKANE COUNTY DEPAdMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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
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SITE STREET= 504 S FOX RD PARCEL -T=
ADDRESS= SPOKANE WA '992.06
PERMIT USE= SEWER CONNECTION
PLATt= 001315 PLAT NAME=
BLOCK= 2 LOT -
,E
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ETRE
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ADDRESS= SPOKANE WA 99206
CONTACT NAME= A ' te'
CONSTRUCTION
BUILDING SETBACKS:
SUB OF BLOCKS 191&192
I ..: .f
88 DEPTH -
''HONE NUMBER=
LEFT= NA RIGHT= NA REAR= NA
PHONE= 509 924
ADDRESS= t:i i \ i._ 1... ! `: !"1 '..: e': i... E 99016
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y li) 1000
SEWER CONNECTION Ni
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PERMIT TYPE H:LL AmOUNr CrIOUNT PAID AMOUNT OWING
SEWER PERMIT 5000 5000
5000
PROCESSED BY: JULIE SHATTO
• PRINTED BY: JULIE SHATTO
CONFIRM LrCiif#AND ELEVATION
.... SEWER STUB PRIOR
.:..'DIGGING .... COUNTY <456-7604)
TO LOCATE ': ' I-:. is ,: CABLES,
... !..
CALL 'BEFoRE YCU 56-80,c0';.
AND INSPECTSEWER
. .. ............... .... .
FO, INSPECTION PRIOR TO COVER Hc*:3
24 'CM NOTICE REQUIRED