1990, 08-28 Permit: 90003206 SewerSPOKANE COUNTY DEPAFITMENT OF BUILDING AND SAFETY
W. 1303 BROADWAYAVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 orcancel 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
I_. I.ti..i.IEC," NUMBER=: 90003?06
*.ie.4 **:3trHf********3r3t)f*** ): x3{ PERMIT
TT : _ 12005 I::' 5TH
ADDRESS= .SPOKANE WA 99206
DATE=: O0J•?r ri''} 047E= 'ii
ISSUED F'ri{I 1:1
0Ri'1A I ION*3ea)e3e**3r*******.,r**if*363E* *.I}t.
PARCEL..'_= 21541-2803
PI:r;: 1TT USE SEWER CONNECTTCN 9801
*** ;;SEE NOTE *.)r.*
PLAT;I:_ 001382 Pi AT NAMr"= It i irtr.F0 Y sUEI
BLOCK= i LOT= 3 ZONE= Ac:,,Sufi
AREA= 001000000 F/A= WIDTH= 80
t
1)15: T Y'
:..r.,... 25
... . .. , .. t.�t..li l j..l I PHONE= ` 09 927 8692
C'T Ill E_F i =- 1 214 /;)�} I_ I> 1'' AVF
.Y .,I...c's: SPOKANE WA 99.06
r+CiN-FACT NAME= LEONARD H .5 S PHONE NUMBER= 509 926 1'3964
but D.L'u.. ,:Et -Am., MUNE := NA LEFT= NA RIGHT= NA REAR= NA
*******x•*******ii***3..**'f*•*3f3i3631 SEWER NERMI'T'******al3f.H.3f.IC..L.313f3f3f343f3r•3r*****3f 3t•3r 3t 3{
CONTRACTOR;: H •S S CONSTRUCTION PH,) V"' 9 926 8964
I
S F'+L' EL 1 =:: ) T 8 I 1 I:: 'V A L. L_ E:. I W A i A V Fi
ADDRESS= SPOKANE WA 992.06
')Ei:S'r%RIPTION ANTTTY FEE AMOUNT
Y
10.00
i 40.00
re • 3e*3f***i. ytu 'r n; i@n. sr. p/ i:F:.1' °' MARY *3{•******* 3r•*3r•*3r•**3i'****3r'*3r'***
PAYMENT DATE' RECEIPT:PAYMENT AMOUNT
08/^)f1% 9'4 5077 50.00
PROCESSING EEE
SEWER CONNECTION
_`OlAL DUE= Tn.rAi. PAID= 50. 00
PE='1.17:7 .TYPE , EE AMOUNT AMOUNT F 'MOUNT OWING
SEWER PERMIT 50 00 50.00 .00
50 00 50.7)0 . oo
PROLES
ED BY JUL-E
BY J!J, 7:r SHATTO
SEWER ,STUD aiS--71171..1 INFORMATION IS AVAILABLE AT THE r:DUNTY
UTIL...1 I :LES DEPARTMENT t=3..)6-36104 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE_ AND CONFIRM RM fHF
ELEVATION AND POSITION OF SEWER STUB PRIOR Ti:; ANY OTHER
EXCAVATION
TO LOCATE BURiFD t:r'3r31..t.>: GAS PiE'ING, WATER LINES, ECT.
CALL PFFORE YOU DIG (450-..8000)
S f.. ..... • APE i... .r.. r., �... ... r+ .. I.. r.• _. C . :...
W1...i•r STUBS AP... Ll rti• .Kr i• tni; C? t.L,NNr. C'T':LON TO . Ns;I,lrti:r
THAT THEY ARE ta._liAR AND UNOBSTR1r 1 u Tn 11'1-: ;dui 1; MAIN
FOR
CLEAR_AND .. . -,. r.., ..
3e*3i�*3H67i�3k3e i:;AL.J. F•_,+. a.N:)I-'1_f ''r'J ^ Fc:Cf�1R 7D LOVER
*
ik.93x
re33r9g33x2.-(U:�tt71CrREQUIRED re*w*.o
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