1990, 08-16 Permit: 90003632 Sewer 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/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
+: ^i _ NUMBER= 90003632
{ 't1 �: 08(1 /20 PAGE=r _ "
tPER3
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SITE STREET- 2407
ADDRESS:-
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PROGRESS
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FERN
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OWNER- PERRY , r
RONALD E SR PHONE= 509 927 8383
ADDRESS=
'' PROGRESS
STREET=JF.E_.. S:.. Vf..:.RA(,Af.t.' l4A 99037
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h • PHONE.iN' NUMBER= : }: � 7, ':'
' :_ . RIGHT=
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+..:ON! ! RACtOR:::: H :i R f ' a.t .,... „
STREET= 11817 E VALLEYWAY AVEv
ADDRESS=fSPOKANE Wt t•"•i 99206 „
ITEM DESCRIPTION QUANTITY FEE AMOUNT
l RO ,,t 1t.CONNECTION f.:f:::f:: 1 ;......ti:i?
SEWER
•
ii•. *•}c• ;f..p;•*.X.*-•ai•N;•}!:-iC*i?......*•},:...i;.j;.,,:..h:-}f.it.*it• i /:. t`'l f::N.1 E%,i N i'1 A P:, f ,,r:-J,:;,:*'n:*'75::!!:.(!.........R..yt.* +:*1;.:,::q:.,3-. :,:;:•o*
PAYMENT DA7E
tt PAYMENT (•:7I li..Ji,t t
�:8/1 6/'-'0 4792`::
TOTAL i.,'t.t#::.:::: .00 O T.. ,•-.:. •
PERMIT TYPE "CP AMOUNT AMOUNT ^ ! ( A N ,f
J ; !»#W'-i'H#,;,
SEWER r:=F:'R;+r, , 50.00
50.00
.00
):o fl..'I... Lf:"
>wt # i -
PRINTED ti JULIE ; rfT.
SEWER
w Ri : AS—BUILT
S" is# fINFORMATION i ; Ai : f ( iE :
iTHE COUNTY
UTILITIES D 'PrENT (456-3604)
CONTRAOI0Ri.h. i• PI"L i.C(•i f`} # t. '. TO# i.. f •l •i LOCATE..
ELEVATION t}N D POSITION ;,,I i..,i f-i: ..STUB...PRIOR
, #Tt?i't i., f.»,...
tTHE
EXCAVATION #
TO LOCATE BURIED CABLES,
rBS; ,w; PIPING,� 1a � , A : ;rrLINES,: . : - -
CALL BEFORE YOU DIG (456. 8000 }
SEWER WE • ! UBS ARE t:t': T "I BE CHECKED f )
"
PRIOR TircNNfTO
INSURE
THATT Si! CLEAR r , } UNOBSTRUCTED TO f SEWER MAIN
.h::};.:it•P P*r.p-n; CALL FOR R It51SF Et.,» :f:1 N PRIOR f'O COVER .k:*j!:r•.y,•:r?:•#:•-N:•i!;•i!:
24 HOUR NOTICE REQUIRED
....................
456-3604 }I•**-}!;.},•..}i;ji;Vit..}j••it.
•it is 1?- r;.*?i• jj..ij..i,.** *****i'r K 1?')t j!' `.-:»7 +•:eF;�{• THANK e N K ( ... ... ...!..}. ..}.}
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