1990, 04-23 Permit App: 90001620 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. 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
!•'Rt.,..li:::(::T iw't.11°!+:fE:I•,;:::: 9000.1620 L'f•31•.I=:::: .....
/90 PAGE= 01
**4*.APPLICATION **!t'1r*j!:x*.j)i.jt...llK**li•**.jt•*•***12*)i•9k* R'1?'.h:
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AI)I)R1:_ S —: SPOKANE WA 99206
E`I:::Rfi:[.T USE= SEWER CONNECTION '•" 8801
3k * 3r• ,S E: E NOTE ac 3i• 3k•
E'1._A f ::: 000038 PLAT NAME= F11._DC:RNA HOMES ADD
BLOCK= LOT= ZONE= AG 1.1r DIET4= L..
AREA= 00000000 'r /Ft=: i::• WIDTH= DEPTH= I:t/1A4=
:„: OF i:fi._I)(a >'::.. DWELLINGS=
OWNER= ;til:::i.:: PAC, MrC; CORP PHONE:::
STREET= 5.16 S UNION
• ADDRESS= ,SE'(flc rJI::: 1F1 99''(u')
CONTACT NAME= LEONARD .... t Ei1..1Oi'1E:: NUMBER= ::: '.::3()9 926 87764
BUILDING SETBACKS: FRONT= NA LE : -i= NA RIGHT= NA REAR= NA
n: •n: •b: b: •ri• •h:• 3i •n: ji .jk..ii• ri 3i' u: •M 3{ •H• •hi H •h:• j?• x: x. x. j,. x..i•: •lt * SEWER 1•'1::.Et: 'f..! ik x. *.h.:A: 3t• 3k n• 3k• 3{ * 'a: 'P: 'Y: 3k * •R.• * •b: •Ik •P: 'P: h: ** •A: •li * 'N: P:
CONTRACTOR= H , ,`.i CONSTRUCTION
STREET= 11817 I::. VAIIFYWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY !=F:1::: AMOUNT
PROCESSING FEE Y ,.00
SEWER CONNECTION 'i 40. --
PERMIT
0:i::I::.F'i1FT (YE''I:: r:I:::E AMOUNT AMOUNT I::'F'•iI::D AMOUNT E.ii4:1:i`J(:;
SEWER PERM].) 50,00 .00 50,00
50.00
.00 50,00
PROCESSED BY: ..1t.11...:[ : ;i'i' AT'•4'(::!
PRINTED BY: JULIE SHATTO
:1:::111:::r. STUB 1' 7;S....B(.1;:1...T'INFORMATION :1:,`.' AVAILABLE (.I. ..t.i..H1:- COUNTY
UTILITIES I)is:.EP`r`+•:ri+EI' "(' (456-3604)
CONTRACTOR OR APPLICANT IS TO i 1::' :I: E:' L..:1 LOCATE A N t i CONFIRM T H E
1::.1...E:.4fil.I.t.:)N AND POSITION OF SEWER ,' L,iI Pt:...I.t_.ii.., ..'.!.. A+t!.Y: OTHER
EXCAVATION
(.1 LOCATE :€i.l1:;:Ir'r ; _ A ?• 1... I::. C' : i s A , ' PIPING, 1.if aT•1:::R:.: LINES, ECT.
CALL BEFORE YOU IG (456 8000)
SEWER (IIB ,:: ARE:. TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT i' ! 111:::Y ARE CLEAR AND UNOBSTRUCTED .1_1J THE SEWER i,,;i.:'R MATi'•,!
* 3E •h: 3+:• 'ii' 3k• * •>':• 'tt• CALL .• (.! tt
j S1I. J PRIOR TO COVER N!!iuxA33P
3i33EFri3�HOUR NOTICE .(11E=(
:•r 3!• 3[' 3k• 3r x• N; jk• * *
* 3k• •ii hi •h; 3k• ji• •Ni •h:• 456-3604 u: b: )r 3k * 3e .N. x. *.jk.
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