1990, 10-12 Permit: 90003495 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
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
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ITEM DEECFJ.RT:ON OJJANTITT FEE AMOuNT
;','ROCESSING FEE y .
10,00
&EWER CONNECTION . no
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:::'AYMEN*7 DATE pEi7ETF,T4
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',-TAL DUE- .00- •
• FEE AMOUNT AMOUNT PAID AMOUNT OwING
50,00 .60
50.00 50.00 .00
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ILIF SHATTO•
.ALIE S.:HATT°,
STUB AS–BUILT INFORMATION is AVAILABLE AT THE rOUNTY
7-rARTM: (456-3604)
CONiRAOTOR (i APPLTI-ANT T TO FIELD LOCATE AND
ELEVATION AND POSITTDN or: SEwER .,7T1.117; PRTOP TO AN
EXCAVATION
TO LOCATE BURIED CABLES; ,GAS ECT.,
CALL:BEFORE YOU DIG (456–R000)
lugrz STUBS ARE TO 7:7 f3HFCKED
HAT.THEY ARE CLEAR Aip UNOBSTRUCTED Ti-! THE .'EwER mAIN
!Ait n TW,PECTION PkToR 77 -7-1FR 351*********
HOUR NOTICE REQOTRED