1990, 08-29 Permit: 90004275 Sewer imilimmilmomm
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
I 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
i 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 a C-'C-- / ' / .040, p/ — �U
DATE
vi-:.ujEci NUMBER= 9006427S
*************K************** P,...,",MI.,..
t••t:;,t•{ht t. ! INFORMATION •Jt 9t i?•li•JF 4k i!!•) Jl•*fi-?t fi•7?•ji•j••j;•}i-jt i+!•li•}!'7:-lt•7G 9f t+r 1h
SITE STREET= 625 N ±/.t f i}l I )1 ±vJ f v I•'' j . .,i"' J... 15543-0107
ADDRESS= SPOKANE
A 99216
PERMIT USE= SEWER CONNECTION .... PINES ROAD ULID 85-1 1
!•*++•' SEE NOTE t: f!'?;"x'
PLAT = 001 ,t38 PLAT NAME=tt...= IIF•`("`.. it'i: 1 -354
BLOCK= LOT= ZONE=
DIET4= 1:7
AREA
0 ...,... Y�'; "+":•, .. .. .. .. .. � ... ..' WIDTH= ....:`t;l f.: DEPTH= .. �.? i�j::. 50
OWNER= S H t::.f"t l:�?t.i{;iii, JOHN i s PHONE= !::y i�9 ::,'':R 1610
ADDRESS= SPOKANE WA 99216
CONTACT NAME= AR ' N,.
BUILDING SETBACKS : FRONT= N!-•t LEFT= NA RIGHT= ±,f. REAR= NA
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_ W�' iPERMIT, ^i . •j,;ry:i:;..7l J :l fjy3* 3:F* L
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CONTRACTOR= OWNER PHONE=
• ITEM t:.t"t I.It::., t.:t';7. '.i•i.±..?tv QUANTITY FEEaAMOUNT t
t
± .h .., v 1'•:±, .�:•I".t,i,I!`:I .i 40,00
i
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PAYMENT DATE E pI:: P•,.'.r. PAYMENT AMOUNT
08/29/90 5099 0 rt
TOTAL
DUE= CC� 5 :
... r•!F.„ �.t..t... ;. ,:,. TOTAL f�±t... t.:g.i.t..t„f:::: ••},•, {:}i:}
d
., FEE AMOUNT AMOUNT PAID AMOUNT OWING
......................................
t SEWER PERMIT :j `'! 50.00 F j t'z
s.
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! PRINTED BY : JULIE ^,t:n T
TO
SEWER STUB UT{ AS •FIIJ NFORM T 3 ON Is AVAILABLE Al i.l..
UTILITIES DEPARTMENT (456-75604)
CONTRACTOR OR APPLICANT TO
FIELD i ti,A f i•• AND CONFIRM
ELEVATION AND POSITION OE
SEWER
t PRIOR•i; OTHER
a
STUB tK i t S ANY
r:.�. t V f•i t .,.c:t N
1.. c:tc:ATE :01 CABLES GAS PIPING,
CALL BEFORE YOU DIG ( 4':i=": „I0~`• ,;J.j FCT,
SEWER STUBS TO BE
CHECKED
tTO ,•„
URF
THAT THEY ARE CLEAR AND UNOBSTRUCTED fiill,CONNECTION'.iH SEWER R �•,tf:� 'f N
4
'A:9i..,,..R••fk 9T•P:9k it• CALL i'±,? K INSPECTION PRIOR Y
COVER
***K******
t494i ^Yi ! y ± "fR NOTICE REQUIRED ? * kyJ *5j *
*: JSJAR: /
456-3604 Pile .' lf..j'::!,;i!;.j;.
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