1990, 04-23 Permit App: 90001619 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/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
PROJECT NUMBER= 9000'i619 DA(r::-. 04/ 23/90
APPLICATION
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STREET=EITE 523 `' PE:::F�;r�'1.E� E- RDE'r'If�•'t:::E:E...;;:21541-2903
PERMIT t.U: E=:: EEWER CONNECTION .... :'t,::Ti)
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f•'I...r°I•T•:;i:::: 00.1382 PLAT
NAME=KIMBERLY : L.fEt
BLOCK= E... (:i _(.ZONE= c' F E=t Til: ; 'T• :„.::::
AREA=
R r -- ,?nn r??na E ' f _ rWIDTH= tl DEPTH= 1 . i::
t : ,_
OFi. i._ , t 1 i... :::: 4 DWELLINGS= '1
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OWlNER::: T)' f`;E''lT:;ft°(:)E:E:(:j M i'::
,\..rf r::ET:::: 523 S i::'i:::I I :1: Ni : RD
r•i).%DI'+'L:.: E ' ?'I'' t.1ES•.fMNi::. WA 9''..:?06
PHONE= 509 922 07ii
CONTACT i'1AMF = LEONARD .... ;..I. ' PHONE NUMBER= 509 926 89
i1t.t1:L_D:riJ(`. EE:TT:rA(:i' : FRONT= 'r';(f'( LEFT= NA RIGHT= NA REAR= NA
i k : " i i )ii i Hx?i " f e i i i i p "x'+PERMIT +". ii b APii 9iPbi l1i 1 i i t h 1 1 iiP)/n
A
CONTRACTOR= H +..E C(::N:; rRt..CTION
STREET= 1 1 x 1 I_. ', f 1... i... r” f t4 A Y• f'l a) r::
AT)T)RE:,' ?:-: SPOKANE WA 99206
ITEM Ti r:: ; i:: R :i: P •T :i: (:) iJ
PHONE= Ji:::: r:;t:> r nay,', B964
QUANTITY FEE AMOUNT
F:°ROr'ESEI .C; IEE 10.00
,`.-; E: W E:1 CONNECTION i 40,00
PERMIT TYPE Fi::.E:: AMOUNT AMOUNT PAID AMOUNT OWING
EEWER M ,_0,00
50,00 . );)0 50,00
i.) L .T: : JULIE B .:: f i A .T..T. 0
.t .'. E::: T) •'1 : JULIE E.1 E...:I: E..: `_:•' I'.I 1 _ (...(. I:t
'EWER STUB AE—BUILT INFORMATION IE AVAILABLE AT THE COUNTY
UTILITIES )_}E: 1 AE1'') iii N'T' (456-3604)
CONTRACTOR OR APPLICANT TE TO FIELD LOCATE f N 'J .Ci CONFIRM '(' H E::'
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
1. \l f"i't AT1:(:1N
TO E... i.:) C: f t T r:: BURIED C:: f ft i... r: E , C: A .` PIPING, WATER E... l: i' F ::`. ' ! ECT,
CALL BEFORE YOU DIG (456-8000)
`'EWER ET•UBS ARE Ti) :)F: CHECKED E'FS1:c:1i: Ti:) CONNECTION T(:) INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED 11(::TI:::):; •T•C) THE EEWER MAIN
)i• )i• * •n * •,' )i• * s CALL E• (: i E%`. 1: i`•! ,'.: i:' E::: C: T .T. C) N PRIOR •T t:) COVER * * •ii• R• :Pi ,k * H Pr *
» " H **)ri}o- 7 4 HOUR UO-rC- REQUIRED
EairRE) )i• )i• .i,: * ii ri- •n * * *
l*t *ir *))*? r sr * ) i n*r ) ) ) N tk) ))) rTHANK '(fl
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