1990, 08-14 Permit App: 90003882 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. Ail 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 P'!{.!?"#!;E#"`= 90003882 i.'A .... 0i.t; i 4,' :''?'i
APPLPATION
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N RAYMOND RD PARCEL4= 1754A -242i
cPOKANE WA 99
PERMIT USE SEWER CONNECTION — A27—I
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N RAYMOND RD
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CONTACT NAME= E.
ILDING SETBACK,
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S.NEET= ,, VAL' r
::YWAY AVEADDRESS= SPOKANE WA t
06
ITEM DESCRIPTION
PROCESSING
SEWER CONNECTION
PERMIT TYPE
....................................................
PHONE= 509 926 2964
QUANTITY i - LL AMOUNT
1
1tti.t,.00
40,00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT
50,00 ,00 50,00
50,00 ,00 50,00
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SEWERS i ..! B AS—BUILT INFORMATION TS AVAILABLE A . #. _E• ; •E E COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR t..!.= API.....ICANT IS • •i (•7 FIELD E ! ''ATE i�i j`. j;'j CONFIRM " '!-# F
ELEVATION •{••7 ?,1 1,1 POSITION i, [ i" t::. V.l #::. s 6 ,... # ; STUB %_! �;{ E.•' }•::.#. TOR !':� ! #
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TO LOCATE +:f,..,I°.
CALL BEFORE
SEWER ETU
THAT THEY ARE
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EAR ANn
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