1990, 01-09 Permit: 90000012 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 violateorcancelth provisions 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 J. APPLICATION /A/pc)
OWNER OR AGENT , ./L�� DATE
7'F ,_..: t NUMBER- 90000012 DATE=I••.... :,: t ::...j9•.:9!)} PAGE= t:}
TSEHED PERMIT
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ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER t.:;Oi'+1NI:::i:::., ±:i_??
'1!'}k R' SEE NOTE H:it*
PLATO= t.:j',:}•1 6 9 2 PLAT NIt`'!E= MORROW ' S f D D
BLOCK=ti-t. :•iT.... ZONE= AGEUB D , :.:..;•.tt.-...
AREA= 00000000 F/A- WIDTH- DEPTH=
OWNER=
-.,1 : ,t..;t` ..'R ROBERT PHONE=
,.:• .:•:?:..?:. s 2-72'7 .::. 8T t..t f•:.4t:
ADDRESS= S4:C:t : , 992.16
. CONTACT i LEONARD.}_ '--- i'? :. -:., PHONE NUMB:—R— `('j`':' 926 :1':,:`.,:i
BUJLDING SETBACKS : FRONT= NA LEFT= .
A RIGHT= NA REAR= NA
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CONTRACTOR= H :^; E CONSTRUCTION PHONE— 509 926 f..3964
RE:ET.... 017 E ,,Ai LEYWAY AVE
A }t RE:;: E:::: _ .::ElKf?NE Wt 99206
ITEM DESCRIPTION t,:...t..AN { .?. ? 7 t..t..E A?`'1 p l_I +1 1
EEWER CONNECTION 40,00
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t •v t DA TIE ?'t.?':._.:i::..:_!•' t t;.: ?•'i• .i?+'t t::.t'+: I AMOUNT
01 /09/90 4 ;'ICJ 50,00
TOTAL DUE— ,00 TOTAL PAID= 50 ,00
PERMIT ;, I : EE AMOUNT AMOUNT PAID { MOE , OWING
---------------
1::=?::.I',i`?:?. . 50 ,0() 50 ,00 „ 00
50 ,00 50,00 is j 0
PROCESSED BY : JULIE EHATTO
PRINTED BY : jULIE EHATTO
SIE............ ...i-....3 • AS—BUILT INFORMATION 1 ,`.. AVAILABLE AT THE cOHNTY
UTILITIES DEPARTMENT (. 456-7604 )
CONTRACTOR t It'=. APPLICANT TE TO i i' ?' ' tJ LOCATE ;':•i?•'111 CONFIRM THE
ELEVATION AND !-?.',.i .!. ...O! t?" ,EWER ... ,..1 t. PRIOR TO ANY OTHER
EXCAVATION
i 0 ' "' ,,i?'t ' f.' '•? 1 i ttt i•i ? i i'-t i' - {
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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P,.LJ,.!t::t., i NUMBER= 9000001 2 DATE=i.: 01 /09/90:j [.;ti.:'•'':.. ?'Jn
TEguED PERMIT
:.;l...1:,.r:.?': ,:: ? ,_,tB AR,::. TO ,.,,._ CHECKED ?"R.t.t?+•..: TO CONNECTION TO INURE
THAT f 1 :'..... ! ARE CLEAR {q1'i, ,._li:;..:. , ?•'.: ?_: i i•' i,J TO THE E ,:, : `. MAIN
:p.y,..}r.;!.*:tl: .!t t.. r"i I...'1... FOR 1.; N .:`P E I_.,T I t.i N PRIOR TO COVER :!`'G::n'.J?'?!:'P: *
***** **4i: •4 HOUR ., .5 I C?.: REQUIRED i.*4+,.lj.:J,.*.jl,.yl,,ir.*
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