1990, 03-05 Permit App: 90000728 SewerSPOKANE COUNTY DEP74OMINT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that! haveexamined 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90000728
DATE= 03/05/90 PAGE= Oi
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APPLICATION
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SITE ,4IRE::E::'i 505 5 S I... #::: 'T A RD PARCELO=
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ADDRESS= SPOKANE WA 99206
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PLATO= 000162 PLAT NAME=
BAUMANN'S SUB
BLOCK= I i...I:a'T':...
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T1"R[A=
00100000 F.t•
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Cji,=.INE::I:E= Jt.►i"#NSi.li''+ ; M #-I
STREET= 505 S TA RD
PHONE= 509 921 1 808 4
ADDRESS= :FDR1::.S,^'= Sis OKANE WA 99206
CONTACT NAME= LEONARD .... H t;;, E
PHONE NUMBER= 509 926 89 64
FRONT= NA LEFT=
Nt•``, RIGHT= {tilA REAR= NA
NEWER
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CONTRACTOR= i..# .& S CONSTRUCTION
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PHONE= i t L i 5>>j , 9
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STREET= •i .i 8'i r E ;:r°)LI...E:YWAtr' , 1=''I:::
r.:,1.1T1#'::I::.:S= `.;#"`t..iF'.fryNE:. WA 99206
ITEM DESCRIPTION
QUANTITY F #::: #::: AMOUNT
•
T
PERMITI'"E::E:: AMOUNT
'•,,'iI::1(.1N'T' P::..t... ANOUNT OWING
----------------
50.00
.00 50.00
PROCESSED T'3'(: JULIE S#"ifi 1'T'01
PRINTFT TY: JULIE SHATT()
SEWER `'TUB AN—BUILT INFORMATION
UTILITIES DEPARTMENT
.i:T ':,'r';:LLAt:'rLE AT THE fCOUNTYI
(451-3664Y
CONTRACTOR OR APi::=#...:LC.:r^,NT IS
TO F:i:#:::Lt:j LOCATE AND CONFIRM T#"#E:
ELEVATION AND POSITION f:1F
EXCAVATION
NEWER „>i''T'I..iTt PR.i.f:ti•:° TO AU1' [:7TI••11=:E4
TO LOCATE BURIED CABLES, GAS PIPING, WATER i...:i:NE = ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO C':ONNEC:T:i:I':jN TO INSURE
THAT ( t HE:.`f' ARE: CLEAR AND UNOBSTRUCTED TO THE NEWER Mr:
CALL FOR :I:ii INSPECTION PRIOR ..'Ti^ COVER3t h: •k k. N: ;iit!•;�•)i)?
ii' )i h: a,•• ! •:,r•..;i• i,: ): :'4 HOUR NO REQUIRED I. R E:....
456-3604 .Ji• i�i•.i"li. j,: jj..j,...'p'..)i. 'vi
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THANK YOU O U Ji 9t 9!'.i ii jH .ji ., t!' 9i'.i'.!' :u'.# :!t ';!; :N' 1i' 9i'.i :�: ',i .l' ;N:• )i; •ji- ;li'.i' FE 'P:.i.:,':
JOB ADDRESS: ✓ V Leto,
SUBDIVISION: C�'`f ��' 1l �•5 LOT
OWNER:
ADDRESS:
CONTRACTOR: r'
ADDRESS:
LICENSE:
INSPECTION DATE:
TYPE OF OCCUPANCY:
PHONE:
PHONE:
BLOCK: