1990, 03-29 Permit App: 90001160 SewerSPOKANE COUNTY DEENT OF BUILDING AND SAFETY
Ni13#3BROADWAY 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 proceedwno processing. In addition / have read and understand the INSPECTION .--N�T- specified
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whet
herein m / understandmm°°°~"="="..~,......~ on - 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
"'�'~~'~`�~ OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 9O6�ii6�
*****************************
..TkEET= 502 �
--
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — P�O�
*** SEE. NOTE ***
APPLICATION
OWNER=
STP --T=
•
ADDRE%%'
orP�IC^.'
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PARCEL4= 21541-1516
000 038 PLAT NAME= ALDOR A HOMES
i LOT= 5 ZONE= AG
00000000 F/A= F WIDTH=
4 DWELLINGS=
CHARLES
UNION RD
WA 992.�
CONTACT NAME= LEONARD — H& %
BUILDING %ETBACK%: FRONT= NA LEFT= •NA
***************************** SEWER PERMIT
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE
-------------
%EWER PERMIT
PROCE�
PRI�
BY: Ji
BY: JULI[
FEE AMOUNT
50.00
50,00 -----------
5O.00
IF %HATTO
%HATTO
SEWER
UTILITI
CONTRAC
ELEVATI
EXCAVAT
ADD
|I B
PHONE= 509 926 7243
PHONE NUMF/ •
RIGHT= NA REAR=
******************************
QUANTITY
--'----
AMOUNT PAID
-----------
.00
-----------
.00
FEF T
10.00
40.00
AMOUNT GWINC
50,00
50,00 ------------
50.00
'UB A%—BUILT INFORMATION IS AVA7! AT THE COUNTY
DEPARTMENT (456-3604)
OR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
}N AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
TO LOCATE
CALL BEFO
SEWER %'
THAT THEY
*********
*********
********x
BU�IE
ZE YOU
CABLESPIPING, WATER LINES, ECT,
I� (45�-8OOO>
ARE TO BE CHECPR7DR TO [
- CLEAR AND UNI._RUCTED TQ T}
FOR INEFECT"UN����TV COVER
24*OUK NOl/':: REQUIRED
456-36O4
[ON TO TNURF
*AIN
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**********
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****************************** THANK YO!] *********************************