1990, 10-10 Permit App: 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
PROJECT N:ABER= 90005277 DATE= 10/10/90 PAF,E=
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M:
ADDRESS= SPOKANE WA 99216
SEE NOTE
PLATT,— 002962 PLAT NAME= WF:50DWARD PARK ADD
.!i. `...F. '; DWELL jay{ S
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W;1 W
ADDRESS= SKAANE WA 99216
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FRONT=
LEFT-
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A1......l...i M(x'f AVE
ADDRESS= SPOKANE WA 99206
. ....t: DESCRIPTION QUANTITY
PROCESSING s'•s::,.. 10 ,00
SEWER CONNECTION
, F TYPE F.jAMOUNT ' a7 } PAID AMOUNT OwING
SEWER PERMIT •
DW .kYj .00 50,00
PROCESSED BY : JULIV SHATTO
STI..-s:E17:. STUB AS—BUILT INFORMATION IS AVAILABE
UTILITIES DEP,A,RTHENT '3604.)
CONTRACTOR OR APPLICANT IS TO FIFtD LOCATE
!:11LrVATJ.ON AND POSITIaj OF sEWER STUB PRIOP TO ANY OTHER
EXCAVATION
SEWER :.: fits•;S r•;#•t:?::.
TO BE
CHECKED t PRIOR : .� ; i { ? , ? t
N
E, .
THATTHEY ARE } :N UNOBSTRUCTED iTHE .EWER MAIN
ci: ; ?it *i , L FOR INSPEClION PRIOR TO COVER *R*r *h9 **R
24 HOUR t,.�.;..1..I(.;r.. REQUIRED _
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JOB ADDRESS: - " • c.:.; (:#-
SUBDIVISION: ` ` a 3 LOT: QG
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OWNER: id al eLc.) PHONE:
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ADDRESS:
CONTRACTOR: r f
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ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: