1990, 09-27 Permit: 90004231 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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
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ISSUED PERMIT
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A:DDRF.SC;:::: SPOKANE WA 992116
PERMIT i.?t•}::. ,E:.;, ER CONNECTION .... 8G0l
3i'H'•*' :".EE NOTE 3i 3i ii'
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BLOCK= I #...(.i i :::: !.. ZONE= ç (r,::I•.i If DISTO=
AREA= 00000000 Fr.= r.. WIDTH= i =:.?t} DEP-##"j:::: '; :v;X #:!`/W .
OF BLDG.,.._ ; :: DWELLINGS= f
OWNER- RICK-, JACK 1x1 PHONE= 509 924 4633
ETREET= 12906 E 8TH AVE
ADDRESS=1:::,i'S:::: : PO#t. 1NE I,JA 99216
CONTACT NAME":: LEONARD .... #..# t t PHONE NUMBER= 92... . 44
BUILDING SETBACKS : FRONT= N{•'i LEFT=i :-: r?.. RIGHT= NA REAR= N{.:,
, , AAiA { P t.:":Ak 3 Y 3 3 f 3 uo33Pi $P } {iSEWER PER ^, T
9+r•1$i+r 3r P•3+r 3E i$3k 3+r:p:*N••Pt:i;•;N•p:•it•Pr•1i;T i4•P:•.}h.j+r-pi•l+i K§3ti
CONTRACTOR= H ,: i..:l,?r�•?:; ' i i ... i..i i'�� PHONE= 509 926 .
ADDRESS=t::.SS= c#`_O,i#'. 't}'t!is WA 9206
ITEM DESCRIPTION QUANTITY "E # AMOUNT
'pflT:::E:.. I.i' G FEE 0. 0 }
SEWER CONNECTION 40 . 00
..
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PAYMENT
i+:{i + 1i::.N? + DATE ;r...t.:t-.?.r , :,+: PAYMENT I AMr_?UNi
09/27/90
5910 0,,00
TOTAL ..?I.? :::: ,00 , O i Ai... PAID= 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 50,00 00
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i.:i.!.O t.:t::... ,•t:D t r JULIE ,:r t,A ; , I_r
PRINTED BY : JULIE SHATTO
SEWER :T1_ AS—BUILT . N{ ' r " " TIiti IE A iF. # f 7 #...s AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS . O FIELD LOCATE AND CONFIRM THE
ELEVATION ; i IPOSITION: ; : l v _ SEWER STUB Pa :_ - tANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, is t'!,> PIPING, WATER LINES, ECT ,
(-ALL BEFORE"_, YOU DIG (456-8000)
SEWER jTcARE TO BE CHECKED ] iF TO CONNECTION
TO } ?strE
THAT THEY ti ' A :? D UNOBSTRUCTED' TTO THE SEWER
MAIN
CALL I"l..t!. INSPECTION PRIOR TO COVER *3t*•ii•'n:***'nr hr
*3r:t**•}i•3r 3t 3t 24 HOUR # r+t I'(" *3i•ii•3r 36 t;•3i•3t ie 3i•
'R.•!i P Jt N:'1t P :++r 3i' 456—3."t;..,' ****K*****
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