1989, 09-19 Permit App: 89003448 Sewer 'ammmm."7":"P
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SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile saic permit is true and correct.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 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 f1ATE _. i
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- PROJECT
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89003448 .", r::.,« 09/19/89 PAGE=
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1 SITE STREET= 912 S
RD PARCELt= 22543-1710
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AREA= 00000000 LOT=
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OWNER= G" S? MICHAEL
PHONE= 509 927
3716
i STREET= 912 S _
ADDRESE= SPOKANE .
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CONTACT
ON A! T NAME=
AtE= LEONARD
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926 8964
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CONSTRUCTION
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SEWER CONNECTION e
PERMIT TYPE :LLAMOUNT in ! " PAID
R { . f i^if?f I..t. OWING}{'
SEWER PERMIT 50,00 „ 00 50, 00
50,00 „00 50,00
PROCESSED BY : jULIE SHATTO
PRINTED t:'r i?:i ": L ?..?:•^f.»
SEWER STUB _.i : .1.'![.1.' - INFORMATION
'CiO{;-,MA...i. _ ::.i IS AVAILABLE
't THE:.,, _
UTILITIES DEPARTMENT (456-3604) .: } t} ,
CONTRACTOR
«N „ ' _ ! : OR
rrti : : T j t TO
FIELD LOCATE " v + _
;
. THE ,
EVArrJ + AND POSITION OF SEWER STUB PRIOR 1 a: 14 ;
EXCAVATION
• LOCATE
BURIED irL _ . . PIPING,
. i { WATER ? ? {: .
CAL?, BEFORE YOU DIG (456-8000)
SEWER : :B. " : : BECHECKED
" . :L _ CONNECTION
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INSURE
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THATTHEY " • CLEAR " ? : UNOBSTRUCTED } _ _IV _ MA
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JOB ADDRESS:
SUBDIVISION: 12(3 LOT : BLOCK:
OWNER: / L1 p (Z q 5 j PHONE: t 7I
ADDRESS:
CONTRACTOR: hi PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: