1990, 04-11 Permit App: 90001409 Sewer xO 5a
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
PROJECT NUMBER= 90001 •409 DATE= 04/11 /90 PAGE= 01
APPLICATION
******3t3t•*3r******************** APPLICATION ** ***3 **** **************** *
SITE STREET= 2023 S WOODLAWN RD PAR:CF'L..O=- 27542-1926G
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION •••• 8801 (DUPLEX)
PLAT4= 0018.4 PLAT NAME= OPPORTUNITY[ TERRACE 4TH ADL'
BLOCK�:: t 1 LOT= (3 :t''"O NE�: :.}'
OFR Dl:c i.'Rq•.Y:: t"
AREA: 000001000 r/A== I- WIDTH= 84 DEPTH= 129 R/W=
rr OF BL..DGS::: •,air DWELLINGS= 1
OWNER=ER KINDSVOGEL , ..:
STREET= 2023 S WOODLAWN RI)
ADDRESS= SPOKANE WA 99216
CONTACT NAME= SIMPSON SANTITATION PHONE NUMBER= 509 926 4781
BUILDING SETBACKS : FRONT:::: NA LEFT= NA RIGHT=:: NA REAR= NA
**•x1ra•*•*H***3r•h:••kit•ttri*3t•*•R•3c3c3i34.3@** SEWER PERMIT :**iia::3t•3k•k3k*•*•k•34••>i*•*34.3E•x3:••tt•*•i':**h.•3•.•*•tt••n.•
CONTRACTOR= SIMPSON SANITATION PHONE:= 509 926 4781
STREET=El 7812 I::: CtAL...DWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING SING FEF:. 10.00
SEWER CONNECTION 1 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING;
SEWER PERMIT 50.00 ,.00 50.00
0.,00 R00 50 00
*3{*3E3E3* **3E3k3#•3b3r3t3i•*3E3i*•**********3i•3h3t3f3t•*3i3x•3E3M3i•3F3•3t3i•3t3r3e3*3t•3e•3E•x3t•*3t*3i*3i 3e 3rx•3i***3t3t3i•*x•3i•3F*3i•
SITE NOTE:: : TOPIC == C;ENEFRAI... DEPT :•-: BUILDING 34•
3t 3t 3E 3i•34.34 3k 3E 3t*3j 34.3131 3F*3E 3f 3E#3i•3i•#3f 3{•3i•3i 3E 3E#3t•3F 3i•3E 3E is 36 3(•3t•3F 3(•*3f•3i•3•*3i•3f•3E 3i•3F 3F 3f••*3i•#3r 3i•3f 3E 3*3t•*3i•3 3t•3{•3t•3t•3*3i•*3i 3{•3i•
SITE: ALSO INCLUDES SOUTH 2025 WOODLAWN ROAD
PROCESSE:D B7�Y : JULIE SHATTO
PRINTED BY : JULIE SHATTO
34••x•3f*34.3(34.3*3{3[3i•a•***3e3•*3i•3H*P.•3*3{•34.3¢•*•***** THANK YOU 34.31•**3{•**h:*3*3tX..**3t•3**R•*3e3i3 P:#3E3i3l•3t•3*34•
JOB ADDRESS: S 2.tg..8 2.025 (Nob C..Aty t.)
SUBDIVISION: ;S-----7.5 — l 9(D---"LP G LOT: BLOCK:
OWNER: KI n de-- Lib -;,i) ! /-----7.5
G
ADDRESS: c� /l
CONTRACTOR: ND;I�-(PSC iU •i LJ IT PHONE: ! c� F �, ~ `��(� /
ADDRESS: i l cJ 1 .- gc-i___ CoLD e____v) / L��
LICENSE #: � p�� (7� L L
INSPECTION DATE: 1�
14
TYPE OF OCCUPANCY: IiitAl
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