1990, 03-29 Permit App: 90001152 SewerSPOKANE COUNTY DEP, ,RTMENT OF BUILDING AND SAFETY
W. 13f0/ 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
DATE=
'4*************.********* APPLICATION yS}:j1k:H: 4 * 3: } 1 : 3K j * * 1 * ?rin H :
SITE STREET=
<ANE WA '9206
,: ,... I... S , .I...r. ; } c.'E= SEWER
CONNECTION :.., ,.4 : •? ;
001839' '
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DWELLINGS=
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• OWNER= 7iii'#.1.Itil : JAMES
ETREET= .„ ;iP 1. ,JI. RD
• ::f?.JDI':E' " SPOKANE WA 9.5`.'06
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SEWER PERMIT
FEE
...........................................
50,
50,00
......: 3..., .. ..i 1.}1....1.1: S 1"Ir°', 1 'i I..f
PRINTED BY- ':L 1.--:1:i:: ``F'1,^,.T...(•(:1
SEWER ETUB AS—
UTILITIES 4 .. •.t{ (456-3664)
P11(1NE=
NUMBER= 509 926 R964
••(. REAR=
EFE AMOUNT
........................................
AMOUNT OWING
...................................................
50.00
50.00
. t 'i I .' (;t # ' I c:i •; OR APP'. IS TO F::E F. i...: LOCATE ; ; i 1 C\ CONFIRM THE
ELE.V(.V ON AND POET ION OF SEWER 073 PRIOR OTHER
EYCAV
TO t .LOCATE DU F{° :EEO C; t Epi 1...1:
CALL BEFORE
;AS PIPING, WATER TNFE, ECT,
..1'11AT
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TO CONNFC-.I.;..!,y TA
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