1989, 12-20 Permit: 89005187 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 and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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 LATE
TUECT NUMBER= :R9005107 E d:, i , .... 12/20/09 I::' f..r j y (.::•;
: i. i F n I. , I.:. I.,, i,. � .l T
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SITE STREET= 1 2211 3 E MAIN A i.. I::'!•'i;.:'cFi. =__ r7 r: r�.}...' .".j i•J
i i T A D i I• ;`... •- SPOKANE I,,I A=} 99216
PERMIT USE= : "I,.if:jt CONNECTION ... ('`.;.a;,....;;
ir.• i it ,C' I;; E NoTE
PLAN:= PLAT NAME= OPr,TR.
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BLOCK= LnT. t ::: 111 :'.:::: J�'i I. y .'�. iii i ....
AREA= 00000000
:. OF F : )~• .. °' •- ,n' DWELLINGS=
OWNER= GREEN, JACK
STREET= 12813 E MAIN I` r V I.
ADDRESS= SPOKANE WA 99216
PHONE— 509 926 271-13
:_ .i,.+r! i A L: i NAME= ;I•_._:: }.. :{,....:. EYCAVATING PHONE NUMBER= '.':09 ::::;;25
.. NA LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= ABLE..ABLEEXC AVt NG
STREET= 2304 W BRUCE
AVE
ADDRESS= ,'.'•F'flIt ANI::: WA 99200
.I. T I:'. I•'I DESCRIPTION
PROCESSING FEF
SEwER CONNECTION
.4000
ir..,,: :* },.:y;. ;{..h::J,:. K n: n: -J?• * t,: '1!- n: Jr •,,: n: Jt- -n: n: r- h: Je )[- p A `(' 1"i E N' 1 g . i i`' I" A R r n. ;t..;,, .;!..a::: J: •i!•'r: 'Je• i.:: -u •r: 1: •i!• •JF: Jc :''. ,e
PAYMENT t DATE " .., :. t ; 1 :v. r•.} { °i r I �••i IA: ?r:, I
TOTAL .I.', .00 TOTAL
TAl... i:'A} ti= 50,00
PERMIT TYPE FFF AMOUNT AMOUNT PAID AMOUNT OWING
50.00
PRINTED PY: ,ii.il...:I:E: SL'l( ...T•f:i
.................................
,: ::. r!,".:�� :. �•..: a'• r'•:.:.l:.l'.l i._i INFORMATION ..a AV—}T! H THE .�L.i i` `f
UTILITIES DEPARTMENT { {Yt:3•.....3.'--.eJ4 1
CONTRACTOR OR R ;..,+....1...,. ,i-}NTO ; 3. f I .... IOCATE `t i'J D CONFIRH
ELEVATION I {..} t J ; ; POSITION 1.. - SEWER STUB i, fi , � .. t. i tz. i i {•a t`. , i : ? � -i r r:�
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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= 89005107 DATE= 12/20/9 ,•.-41:E= 02
IMED l!:r I::IZ ti
SEWER ETUBSARE TO BE CHECKED :.:KED P t.: TO CONNECTION TO
THAT •j -I.. E Y ARE CLEAR AND UNOBSTRUCTED fn THE SEWER MAIN
:.:.-:, •'f .•-,`:^. .1 ... { 1 PRIOR ,.- COVER 1•Jtstpp-:--.
.�. $t $t- Jt }. •J'i �J4. 1 r CALL .. ._ r - t..'t .. -... rr !_� t, .{. � . � �. � I �:. ,, e..n-
3:: _:*.;;...:J *** 2.4 F•IfiUR NOTICE REQUIRED •ii•Jf•*•yi i•*:n;•h.:-Ji••u:
::, 1:. * •Ji• •Ji 456-3604 y:*********
'P: ttr a1• •Jt• il• ** Jt• •Jt: * * ;',• a •P:*.;;. yryi• •jt• )(• •p; •p} •)$ * i{• h:• * * •J4 .J{. Jai * THANK j ) , ii:
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