1990, 09-26 Permit App: 90004902 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
I'"H i..?..'"::.(. , NUMBER- ':){'; '1t•1=;':'y..:}::.: DATE= :}'"::,: PAGE=..
APPLICATION
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EITE STREET= 12924 F 9TH AVE :;i•,' ..'I..I .. •t•i.:; ,
ADDREEE- SPOKANE WA 99206
PERMIT USE= EEWER CONNECTION —
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ADORE ,``k`ilIE:?NE WA 99206
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964
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CONTRACTOR- 1'1 1:••: :. CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= EPOKANE WA 99206
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PROCEEEING FEE 10 , 00
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PERMIT TYPE aii T a- UN PAID AMOUNT OWING
EEWER PERMIT
PROCEEEED BY : JULIE EHATTO
PRINTED ... ... .!I.......... ... .'Ifi. ..i ...
::;EWER STUB B AE—BUILT t.(t}' i..ii,: .;.t...AB1...E A . 1 T
APPLICANTCONTRACTOR OR , t
Rm THF
ELEVATION :.t:.;;, POSITION ?;:: .I. f.. .?,1 LOCATE
,-i': 4{'-,I nTHER
TO LOCATE.,••, ; ':: :.,,.,?I;' ? h ;: CABLES, GAS PIPING , (xj:.,
CALL BEFORE YOU DIG (456-8000 )
THAT I t....'i ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
CALL FOR.... .. ........
.y,..r::y::..,.,:yt•,,.�y)t; .•:':. HOUR NOTICE" � REQUIRED ON i � a;.:
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3., ,.._ t; at 1t .•.7.t.?..... .t J. ..1t..J.1.1.1...:.J... THANK Y L.i i,.1 . . ..
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JOB ADDRESS: 1 a 9 Q 7-0'V
SUBDIVISION: c: 1---la- E)21 - – O c�L-7LpT: BLOCK:
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OWNER: IS c / A PHONE:
ADDRESS:
CONTRACTOR: /7/ PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: