1990, 12-05 Permit: 90005177 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
:-,ROjECT 70007i-77
:.-.:...: , i . y :, : t : .. ;5 h' o i ik >t 7; ji"R• jt P i; N 1k * PERM1 .t, r t i m r^4 1 i j7 i"' f:' J+. i s r' k: Yr i.:!. 'Jk •1•` 4i• #• )E :[• $c jt. )i• 9! t'' :a. j` # 'R
ADDRESS= SPOKANE WA 99216
PERMIT ;c._ J E_'CONNECTION .
ji•.* :.EE NOTE *k4'.
PLAT4= = 0i•1.;:41 `. PLA1 NAME= 1 t H 1l..l .I.... t',},,,
BLOCK- I i'tT .. :1 :'fi•rlE= AI:,•:il.1T T)T:'T ••-
DWELLINGS -
OWNER=
%
p' B
AREA-, ,' 0 c) i?i r :r J') _ '{ 7i�" (/''NGA =' (" WIDTH= T} -- t" i• t•i ::-
OF
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(:)w IER= SEvEPs'ON, ED C; i `i -1i NF=
STREET GOS S Ham RD
ADDRESS= SPOKANE WA 992.16
CONTACT NAME= LEONARD .... Fd R
"BUILDING SETBACKS: FRONT-. NA I I_.FT= i`JA
*****v(•1iii'*•uxf"u•r •x -***ac...*. ***...; ;•.+�� r +:. i..:;.1
CONTRACTOR,., F t:. CONSTRUCTION
i UCT( I.r: N
:)1 RI::.C:. i '= 11817 E'. WAI..i_E' i !h!1' ( r•'+ .
r".rDTyl':'E,:,,. .. SPOKANE wrj 99206
ITEM EM Ili Ecr i•I',T I ON
•
PROCESSING i:: F::.r:::
SEWER CONNECTION
1(:71'J
RIF,HT- NA REAP= N
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1`Fliliil:"a:: 7i`" 726 ...`:,:'.
QUANTITY rEE AMOUNT
•
•
;r •k• .ii•vi= A •h ;ri• •k• ?i• 1!..k.4 yt, .){, .1i..k..4. yi..K !r: i•. !':. ,i k i4 11 •>4 t1 if 'tt• . , r.• ( .. .... .
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#a A iF: NT DATE F I:::(::F:I:1:::T.'4:
17/05/90 7738
PAYMENT AMC ! f,1T
.1T1 -1, -(AL DUE- `:J- TOTAL r- I D :::: 50 : i'.:,::::,)
,.:... ,:1.1. ; t r''I::. FEE AMOUNT AMOUNT PAID AMOUNT )+.!l i•','',ii':.
SEWER f i::t• 'hi.J T 50.00 50.00 .. 0 )
i2) j:j'• ): * * 3 r• X k' * r': * * it •P: ji. * K j!: jt' jt• jr .. jl• '!4' ji• 1f )l 1i• it iE }F )i• )t• Jh 9E * 3!• P: ji• j:' *• A: jt R• jt• l: ji- l' .r 7t'!i' ;'i-'}: J`:
ETTE NOTE: TOPIC :,:: GENERAL DEPT =
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SITE
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SEE D "i•; .) iL. T[:
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l J Y_ : - r'.. , F 1 ti f (456-,3604)
CONTRACTOR OR APPLICANT .L F i- .i.'' L D t.lCA
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