1990, 12-05 Permit: 90005277 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
0
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12 ("16 91H AVE PARCFL!!,= 2254 —0720
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ADDRESS=:. L:OI':At`•%I::. WA
PERMIT ,»i:•;... SEWER C..:.".,t i... 3 1.
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PLAT4::= -002962 PLAT NAME= WOODWARD PARK ADD
AREA= :•.
1.11.4N E ia::::. NORD3 , W
-ADDRESS= S f,, Ki-:i'E WA 99216 ,.
CONTACT NAME= LEONARD — H PHONE NUMBER= 569 926 996-a
77TBACKE : FRONT= NA LEFT= NA RIGHT- " REAR= NA
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CONTRAC
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STREET= "iii i-}.! AVE
ADDRESS= SPOKANE WA 99206
ITEM M :::.. S : ? P _.ON t...!ijN.N..i '''i' FEE AMOUNT
PROCESSING
SEWER CONNECTION 40,00
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PAYMENT
F . N a :
AMOUNT
12/05/90 7731 50 ,00
TOTAL DUE= ,00 TOTAL PATD-
[ E:.E AMOUNT AMOUNT i'.•
EWEt'•. PERMIT 50,00
l;lt;; _ .. .. ..
50,00 50,00 ,00
JULIE :s 'i i I I F„
JULIE
.. __. SEWER - STUB AS—BUILT INFORMATION t 5-'t',•'(i . .. A_, i
PF
UTILITIES DEPARTMENT
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CONTRACTOR OR APPLICANT I: TO FIELD LOCATE i:;N1,. CONFIRM THE
ELEVATION AND t ` t":'... .; `_.r ..,'N OF .. .::i>,:1-t. ETUB PRIOR TO f`'i;i x OTHER
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CALL Y ,..1tt- YOU—DIG
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SEWER;'t ,:S t t. S i i t} 3, t OHECKED PRIOR I I ,i ; i{ ;C t I I t f TO TNEURE .
THAT -THEY ARE—CLEAR AND' UNOBSTRUtTED Tfl THE :7,7:4ER MAIN -
at ! }t'* }a;t=:t!a; CALL If :t t'l E} t..;t.:.' 1.f " _PRIOR TO COVER *******-*K*
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