1990, 06-20 Permit App: 90002858 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. 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
OWNER OR AGENT DATE
APPLICATION
h.. t. rt i; * x tt * n 1. tt ,. * Y... It a. f. 1. is . t t... * et l,, * it• APPLICATION
SITES 1'S A,f
STREET= j 5-
I I"•. i::. 1::. t " .. } �•. Y :.i 1.. i..J .r;
* 3t x SE
L
SEWER CONNECTION 8801
1 s: )t t' *
DATE= 06/
f.': 7i:1'°i....1:1.:::4? T .1. i.
G•k**)}:*9t•$t•iE )'•i4'*)t•)t••Jt•**•N'H•)t-) )i)t')t•)t')t-hh ..::
BLOCK=PARCEL4= 11541 .167,1
? .? 1 h I F'i.. A I Pyr::t 1E ::: ,.iii?' i i OF S i._;.. .1., :, .1 `•r''1 & i
r
ZONE= SFR
AREA= 000000 00 C' / A f_t 1 ? i:::: 88 E::E i f?:: 137
•ir OF a. ?... A...r ,:r .... 0 .. • as E ?...... ... 1''...r ,::._.
OWNER= KLEMMER, RICHARD
i -i l :° i: E ... 509 S FOX RD
i
A.UA?Ri::. wS= =:SF•°i11t,isi'4i::. WA 99206
CT Ni•,1''1i:.:::: LEONARD .... 1..G EETBACKS: FRONT= NA LEFT= NA
& 2
_;HON1:::::: 509 ....... 5.420
PHONE NUMBER= 509 9'26 e964
.RTGHT= NA REW NA
... ,`.. .*. ( rik .PR 9�,F• { Ak r t R �RSEWER 6 " i ,
•5:: * h: i'7 ;+i 'Nr •A''Ai •P: •;i• )t ik #'N: inr ;?. )t iii •Iri * •i=• *.N. * )4 iu: -,'•.
CONTRACTOR= 1»1 & , CONSTRUCTION
'TR1.::E::•'•:::: 11817 r:: vA1...i.. E 1:i;x.;,:
t'1;`11:iE :i>',;'::.. ;=1'OKANE WA 992;'::'i
.1: •s i•:: i'%i DESCRIPTION
•
PROCESSING FEE
SEWER CONNECTION
...................................................
..:• ?::. tr4+ :: i''. i'' iE: i:;: iii .1...?.
QUANTITY
...:............................
FEL AMOUNT Ai'if:1i.l •JT• PAID
50,00 ,00
50.00 ,00
PRO SHATT
PHONE= 509 926 8964
FEE AMOUNT
FiMCH.iNT . OWING
................................................
50, 00
0 , 00
.... i,1;.. c. R, ,= i ; ._ t „•, IE AVAILABLE i'•+ 1 THE COUNTY
—:ANT
is O l i7
NC
456-3604
AND CO.. IRM qi
—1 ANY OTHER
PIPING, WATER I.:TWEE, ECT,
800
ETRHflTF—
TOR
EFWER MAIN
THANV . jr ie: i=:: )'r i}r )+i irr )i- ;:;; )i' : ri) :.: Q :,£.h:;;.:,.:* );.:;;. _,r.) t.:'r h:****