1990, 09-14 Permit App: 90004606 Sewer 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/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
FRUji.....Ci NUMBER= 90004606 . DATE. 09/14/9
APPLICATIoN
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SITE STREET- 312 E WHIPPLE RD FAROEI 4= 21941 -2504
ADDRESS= SPOKANE WA 99216
PERMIT j):.c.E= SEWER CONNECTION — 880i
PLAT4- 00244 PLAT NAME- WELDON SUB
AREA— 00000000 E WIDTH- DEPTH=
ADDRESS- EPOKANE WA 99216
CONTACT NAME- DONNA COURCHAINE PHONE NUMBER= 974 5.45
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT- NA REAR= NA
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;':{i?.!•.1 ?:y,:. ..- " 's'i:.' f:{:)A...:... WA 990 97
ITEM DEECRIPTION QUANTITY .• AMOUNT
PROCESSING`.�.?•tit:! ?.?::.
SEWE
CONNECTION
40, 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID,!- I,i i-•t'}'{?.?UN ; OWING
t::.wER PERMIT i ... i:.j:,!.')i:? ,00 50 ,00
JULIE SHATTO
..;I„ii..,I!... SHATTO
SEWER STUB AS—BUILT INFORMATION TE AVAILABLEAT THF .. _ HNTY.
UTILITIES DEPARTmENT (496-3604)
CONTRACTOR OR APPLICANT TE TO FIELD LOCATE AND CONFIRM TF,F
t„ . t
;.„OCATE BURIED CABLES, G F:;E PIPING , WATER L.INEE,
• CALL BEFORE YOU 'n!I{. (456-8000)
SEWER STUBS A I.t,. TO BE CHECKED PRIOR TO CONNECTION TC .. : �..
THAT THEY T f?{.?::. {.,l...?-..f.:i{' F$?'<... UNOBSTRUCTED TO i ?'{?:. SEWER MAIN
******§ CALL +' ?R INEPECTION PRIOR TO
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