1990, 01-24 Permit App: 90000278 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509456-$675
1 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
OWNER OR AGENT
APPLICATION
DATE
PROJECT NUMBER= Y0000278
DATE= 01/24/90
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i ? a. ;
1PARCEL4= 3%54i-9004
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER —
..J
**4 C' E. E NOTE
!" .... r•i ! .e 004.369 PLAT I:F!..i3'3#::.... MIDILOME 5TH ADD
BLOCK= i LOT= 2 ZONE= SFR DIST4=
! /A= }•• WIDTH= DEPTH=
! t INC
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
PHONE= 509 924 940.6
. CONTACT NAME= FRANK COBB PHONE i! 50Y'049
BUILDINk, SEIBACKS: FRONT= NA RIGHT= NA REAR= NA
.,}i .t. ,k::?i: ii::u: ),: )i 'it:' )t' )i: )+i 'it: .}};.:,t: ;?: :,:.;}: -ii• i.:t}::It.:tt. �;:.t} .,,::.: :.. ... . ..... i.' ! ;: i.:.!....
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I}. ! { i. :t• ;if• .!t�CONTRACTOR= GREMY INC PHONE= 509 924 9406STREET= 12212 F SIOUX ciRADDRESS= SPOKANE WA YV206
ITEM DESCRIPTION NUANC1TY FEE AMOUNT
PROCESSING FEE 10,00
SEWER CONNECTION 40,00
PERMIT : ::" #::i':.3:: A3"3i.!?.?3'?! AMOUNT PAID .;1'=j#•.!j!i"v••I F„!NJ.FNt..
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SEWER
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PRINTED BY: JUL — SHATTO
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SEWER
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00
:.:-E;:::i...; •. STUB UB r•-!,,;. B? -:1.3...3 INFORMATION TS AVAIL•i •t `I
UTILITIES DEPARTMENT !::, t
CONTRACTOR OR APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR
TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CAB GAE PIPING, WATER IINFE,
!.:. i.:f ,.. Rs':,:TUBg ARE TO BE CHFC —T PRIOR
TO
'
,:
THAT THEY ARE CLEAR AND INOHii-MUiH) TC THE ,c.:PWER MAIN
..........
flw:::vEuCTUN PRIOR TO cnvr,
24 HOUR NOTICE REUTRED