1990, 03-29 Permit App: 90001182 SewerSPOKANE COUNTY DEPAETMENT OF BUILDING AND SAFETY
W. t303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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
1: i:t1i iE:::(:::(. NUMBER= = i)$)i);:)'1 1 ,
APPLICATION
* r( )»• r r r o * ))ai;is * 7 * : »• ) f APPLICATION0.............))))*)))
SITEY. .., .;.. :... :....:.. :. :., FOX ,.. .;. t .q r ,L 2.1 `' 41
::..i. i i::. ,:; 1 i": i::. i::. i c :: .... :. : .:.: ': FOX i .%�•. i". �� i'' [•Y i t (..• i::: E...',f• �'• ....
rA•DDF i:::,. :::: SPOKANE W(1 `:
PERMIT USE= SEWER CONNECTION — 8801
F•`i. A I .-Ux =
BLOCK=
AREA=
•i: OF :ri..Y1(_y::r....
OWNER=
STREET=
• ADDRESS=
::0i .'yi r` PLAT NAME=
2 LOT=
'
1::' JA»::
1 DWELLINGS=
LENTZ,RICHARD f.s.
504 S FOX RD
SPOKANE WA 99206
JANOSKYOF BirwKE 191&192
4 a:.i.1Nl-.= f. t.•,:`•1..)rs
F WIDTH= R,:, DEPTH= .) ...
t
CONTACT NAME= LEONARD .... i..E & S.
BUILDING SETBACKS: :: r ROiiiTNA i...i:::i:_•T•=•i,tr.,l
PHONE= 509 92 i999
PHONE iii ±i:,; s:r i::. i:, :::,::, :}': .ci
RIGHTi-•i'T = NAF.—AR= i:: i"J rA} ..
)i
'r v •p: * ** •n; ji..} f * •bi :v * •n;.. },..);..)i• k -i<:.. ii..ji..)i k .)f......p; <:' :;, ., 'k )i•'b:. * )i:*.u..hi * :• •ii: * )t K );..y,; n; • • k n; :,; :„..p:.),..j,•.
PRO
CONTRACTOR= H. +-k t. c:: o y l ,,..... R , ..- :.. .
STREET= 11817 I::. '`,,(ii...i_.E::`fW 1'7
ADDRESS= .SPOKANE WA 99206
ITEM iJF:::`; t:.•R.i. F'` T .i:?:1,`a•
........................ -
PROCESSING FEE
SEWER i i•J i` -J E=: (:::..i 1: (: i'•
AMOUNTPERMIT TYPE FEE
ED
:E N T E::D
50,00
50,00
BY: 1iILIF: Si..'A..I...t t1
QUANTITY
AMOUNT PAID
............................................
.00
PHONE= 509 926 13964
1-E.E. AMOUNT
10,00
AMOUNT OWING
....................................................
50,00
50,00
SEWER ,(iTAS—BUILT INFORMATION
1:�t=i"{IaiAVAILABLE t ( \...... COUNTY
UTILITIES DEPARTMENT (456-3604)
iELEVATION
.:i; i E'4At.. (.Tr?.• (1}"•. Ai�'F`i_Ti:•:Ot T• .+_ E...,: E...(:l(::o'1:•F�: AND CONFIRM
i:: Li:::aAT .E(:TN r1I4T:) 1-'i,aS.1. T E(lt; OF Si::.i, r .- {i' T I.I
EXCAVATION
TO E...c (:`A T•Eti,ii,::i:I:::T:)CALL BEFORE YOU y CABLES, t.;r': PIPING, Ii`iI:::, Wr:.,T F: RRR; LINES,F:,.:::..I.
SEWER STUBS
T1Y; ARE TcTiCHECKED i i 1 ,CONNECTION
. 1 COP f r1 aO T
) INSHRE
THAT THEY (r1CLEARAAND y,:::LtITTO THE Ei,iiW(
iN
):ijit)@)CALL FOR tiEii( fiJ
PRIOR TO COVER :t1 .ji..),. )t 3t..j,..N..}i..)=. )*
24 HOUR N..; :.: ,i": F; E:• (? ,..1.E r:• »• )k ii• ii• ii-* * )r *
456-3604 ********Ka
•))))h * )$ .... )f.:,(. *.},...,f. ),.){..}i * !f...... )f• 1i- .......... 1l• )i' * . THANK :.. i , : :: c:: ... .
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