1990, 08-01 Permit App: 90003675 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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
PROjECT NUMBER=11'B 90003675 .4 r`i i... .. ...r. 1.. � Oi.
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SITE ETREPi = .2d0b RAYMOND LIR PARCEL4= 29544-0612
ADDRESE= EPOKANE WA 99206
PERMIT USE= EEWER CONNECTION
PLAT4= 000376 PLAT NAME= CHEETER
LOT= ZONE= AGRI
AREA= L ±;�,±;1±t1±:9±;yt:;0 r /r::;:::: F }j::_•1,"�'j..j:::' U ::a' 50
HILLS1.
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4 DWELLINGS=
OWNER- KLAVANO, DICK PHONE= 509 928 9375
STREET= 2808 E RAYMOND CIR
?3.1D f ::.:': ';:::: E ` a K r•"•i'•l E WA 99206
CONTACT
O7 :[ NAME=
;ME: DONNA
fJi{ : 1
tR :FFj +iPHONE NUMBER=
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t 5485
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CONTRACTOR=
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VERADALE i1 99037
ITEM t.,E;;•;..:?'';.?.± ! S.i.i?,t QUANTITY FEE j':. r•':Mi..?j.if@t.
PROCE
ING FEE 00
.CONNECTION
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SEWER .:l.ti�ti':t:.!..: 4 .t.
PERMIT TYPE -! - AMOUNTAMOUNT i - ` AMOUNT
OWING
SEWER i:,., ,.. ..t:::i:j.j.T °:i';:i :.00 ,00 50 ,00
50 , 00 ,00.i;'i t::.,,:i , i'jr.,j
I........... #.. •. ,.. 1 1 JULIE -#r.:, i I!
PRINTED BY : JULIE EHATTO
txi 1;:. '* 1 1 1••. AS—BUILT INFORMATION TS AVAILABLE ;:}..f. ..`.j..,j:: `..:1!!i 1`•t i
!.,t i I?....?. ! .#.E:• DEPARTMENT ( 456-3604)
CONTRACTOR N.; - 4.., APPLICANT .,
!..:t.;!`-? ? ?"•:±'•:t!..: ? !..1±�-: !..!?.�_ !• TO ± i.._t..f) l...l.l?...r;!...i.. r••.i:.f.li CONFIRM THE
r... 'r 4 t I i.f N t'1 N D POSITTO POSITOF :':•?::tt11;•?". STUB PRIOR 1 t t••[ ? [ OTHER
i 1..i #...c:ic:r+ ? E r."t!..tr';.t.1::.1.) t.:¢.t B,..F:.: GAS PIPING , WATER LINES,i' ,:. EC-
CALL
1. BEFORE YOU r:'I. ? ,;,... ..:, .
S?::.,,{1,-.± . ETUDE (?t•;r.:. it., JSi::. t..,r•:?::.!_.•?':i::.D PRIOR CONNECTION MAIN
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THAT 1 r•t{::.'t t•�!i t?::. CLEAR r.a t'•3 i_1 UNOBSTRUCTED .t f..i THE SEWER .�!I.
CALL
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