1990, 10-05 Permit App: 90005179 SewerSPOKANE COUNT'S 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 REOUIREMENTS/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
PROJECT NUMBER= 90605179 T)ATE= 10/05/90 P GE= 01
APPLICATION
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SITE STRCE = -i 1 01 E MAIN AVE PARCEL -4= 16543-04'
ADDRE:S; 5:POKANE WA 99206
PERMIT USE= ?FI4FR CONNECTION —. B87-1
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OWNER=
ADDRESS=
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DWELLINGS= 1
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NGUYENI. N.i"IAM
i 101 1 E MAIN AVE
r—,3.: NE WA 99206
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CONTACT NAMF:= DONNA COURCHAINF
BUILDING- SETBACKS: FRONT'-- NA LEFT= NA
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CONTRACTOR= COJRCHA.INE CONSTRUCTION
STREET= 164.02 F VALL.E.YWAY
17)D'rS7.:=: VEF.ADAI..r WA 9907)7
ITEM DESCRIPTION
s.s5
SEWER CONNECTION
PERMIT TYPE
SEWER PERMIT
PROCESSED
PRINTED
FEE AMOUNT
50.00
50..00
PHONE NUMBER= 509 924 =;4;;T
RIGHT= NA REAR= NA
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QI IANTI t
1
AMOUNT PAID
.00
„00
PHONE= 1'30 924 I54' :r..
EEE: AHi it ifvT
10,00
40100
t" lmnHNT OWING
50..00
BY: ,JULIE SHATTO
BY: JULIE SHA T I -O
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION CIF SEWER STUB PRIOR TO ANY OTHFR
EXCAVATION
TO LOCATE BURIED CABLES,. CCAS PIPING;, WATER LINES, PCT..
CAL..- BEFORE YOU DIG (456--8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO TNSiIRE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
• *** ** * CAL!- FOR INSPECTION P'RTOR TO COVER ******1***
* -*** 24 HOUR NOTICE REQUIRED -****ar**•;i•ri
#t• tit•$ •)Frii;•it 'ar7ii it*•ii**.*•it-*#isit*it-*ieit,**•ii• THANK Y(iii *•)En-$iii•i`'*ii•ii•is***#itis#**iE***iE*i;a•fi_r'.d
JOB ADDRESS:
SUBDIVISION:
OWNER:
ADDRESS:
CONTRACTOR:
ADDRESS:
LICENSE
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PHONE:
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PHONE: t(- 6 ( ?
INSPECTION DATE:
TYPE OF OCCUPANCY:
8?-?-(