1990, 03-29 Permit App: 90001173 SewerSPOKANE COUNTY DEP�JRITAENT 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
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SITE ETRE—
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PERMIT
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APPLICATION
DATE
ROBTE RD
FTWER CONNECTION B87-1
OWNER= KTNKADF
CONTACT NAME=
BUILDING ETBACK
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FRONT NA
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21541-1030
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ADDRESS= SPOKANE LJ
ITEM DEECRIPTION
PROCESSING FEE
SEWER CONNECTION
.--ERMIT TYPE
-------------
SEWER PERMIT
JULIE
JULIE
SEWER E T .J:RUTILITIP-
fi...
i '•s t •.:. t TO LOCATE BUFCALL BEFORE
FEE AMOUNT
50,00
...............................
50,00
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QUANTITY FEE AMOUNT
................................
10,00
40,00
AMOUNT OWING
50,00
................................................
50,00
AMOUNT PAID
,00
#.:.r AVAILABLE AT THE COUNTY
APPLICANT TO FIr,
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DTC
Ci
CHECK
#fIJJ, S
FOR INSPECTION
24 HOUR NOTICE
;;;,6." 3604
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LOCATE AND CON
PRIOR T {-:tel f;;? F•+J Y
TPm
PIPINF,, WATER LINES. FCT,
',:`•`..I.OR TO CONNECTION ...
1i.YFD TO THE
TOP fP ... TO COVER I::-! 1 *')I •f+::u; -fi• •it •f{ •ff. •}f;• (.
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