1990, 09-12 Permit App: 90004541 Sewer miwommomprnommism
SPOKANE COUNTY DEPAT4TMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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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
PROjECT NUMBER= 90004541 • DATE= 09/12/90
APPLICATION
:a. : .* ta.} trtx t } t : ta..t ¢*. x r* APPLICATION R. . : :1. ; N j : } :11 .::*j : : :{: :+.:1: a }l. ; :,!.s;.:;:;:
.'..,...:..... .....................: : , PARCEL4= 4
ADDRESS= SPOKANE u 99206
PERMIT USE= SEWER CONNECTION — AO7—I
9 :!ti!" SEF• NOTE 9':..}t
'i...i'.t i •tr_.. 001054 PLAT NAME= OPPORTUNITY: PLAT�=
BLOCK= LOT= 70NE=
AREA= ,,ytJl•t{lit:i}y !t;! , /A= F 14 j..t} . ,;_- DEPTH= R/W=
,...
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DWELLINGS= 1
OWNER= BRAUFF, ARNOLD • PHONE=
,.) t ? #; WALNUT 1'';.D
ADDRESE= SPOKANE i;.i 0;:
o: N••;•,,,..: i NAME=
, - N.... NUMBER= 924 .i:;;:: :,
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SETBACKS :
:JILDIN
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ITEM DESCRIPTION.
E ,.,:., QUANTITY
PROCESSING t 10,00
SEWER CON40 ,00
!f J
PERMIT TYPE
1..#::.?::. AMOUNT AMOUNT PAID AMOUNT OWING
..
50 ,00
' !...1,11..,.5 STUB AS—BUILT
.} NF:(.?Ri"1;••{..f..��l:� .. AVAILABLE
CONTRACTOR ;..11'x; APPLICANT #.:::• TO FIELD LOCATE AND
CONFIRM THE
•.
ELEVATION A!•J:! POSITION OF SEWER STUB PRIOR TO :;1 N`; OTHER
EXCAVATION
BURIED CABLES, GAE PIPING, WATER 1.JNI:fs, EL: I ,
CALL BEFORE}'
YOU DIG (456—O000)
SEWER ..,..,. ,
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. THAT THEY ARE CLEAR AND UNOBTRUCTEn Tr THE ::PIAFR MAIN
:• *:),.:*:0:***** CALL :..,.!7•=.: INSPECTION PRIOR .. COVER :•ltr iz:')t'4'i is :'l•'P;
..y_.i!;• :it••tit`i.. .. 2HOUR NOTICE REQUIRED iti•7f•i+`'it`. ..itr*1t
-)1 5i,.*.{!..j;...tti..:I 45,.".)—3604 'Pr 3!:•it.'±!r:tr{.:`.ti•Pi.I•P.
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9t::!':9t?t:•ta••t`,'1`i'!`,'4t:tt:F::C•!t•;t•P:•fti 3t;k'!t'9k:a•}t)a•f':1=;:tl,y..}a!t.A.P.9ti THANK t•�{";?!f, Y?,.E!„� ).1.t.!.7.1.,...1.t.,.tt..}a 3' .
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JOB ADDRESS: / / / biJ_0_.--0 I Ili- aFf)
SUBDIVISION: L "'j" 4, --C)':--76- I LOT: BLOCK: P "'�-e-
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OWNER: 852_6?....44-6, f J 45- PHONE:
ADDRESS:
CONTRACTOR: 4-1.-L-46/te2-1i-/A--e___ PHONE:
ADDRESS:
LICENSE #:
<7p c
INSPECTION DATE:
TYPE OF OCCUPANCY: `�