1990, 06-28 Permit App: 90003019 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 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
APPLiCAilUN
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SITE t t::. :.wt I'i.I::.t::. t ...: 12720 t;', 't '# I i•E AVE I^`F:I t'ti,..,+:'.t-..•tr_.. 22543-0719
r''•D :1- .. SPOKANE WA 99216
CONNECTIONPERMIT USE= SEWER ..
eoi
PLATO- 002962 PLAT NAME= 4t1 i.1#.,l!J iT t�e t'{i j PARK ADD
....
BLOCK= !' LOT= 3 ZONE= A<<-::;L.J i:, DIST4=
•,.• i#. B ,Jia:::.... -• •fir DWELLINGS=
OWNER= FOSTER . FRED PHONE= 509 1 :576
:• It":s:.1. # .:.. t :..'. t'.:.'.y i::. iiih f!tai:. •
. ADDRESS= SPOKANE WA 9921 c
NAME= LEONARD — H. & S PHONE NUMBER= 509 926
BUILDING SETBAC:KE : FRONT= NA ' LEFT NA A
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4
,f:,7DRESS- SPOKANE
99206
PROCESS
e i' _
00>�...., CONNECTION '-i"•.i -•1i
«it # # TYPE FEE
AMOUNT : 4 ° PAID AMOUNT OWING fIi7
SEWER :;Ei;MI_, '; _0 j _t:.:j;.:j
#::fi 0 . i�f 0 ,i i t':i 50 . 00
0
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
: _#+. STUB e . • dat1:p INFORMATION . : AVAILABLE -
� F i � �COUNTY
UTILITIES k
CONTRACTOR i,.f,, APPLICANT# Ii i:!N :3 t O FIELD LOCATE
:. f ND) CONFIRM ;'I..#t.•-
ELEVATION I fi•t_ POSITION :t” SEWER .:>TPRIOR %1 t}t a Y OTHER
1::. LOCATE
B# . ti
j I - ... : PIPING, ;f7 R i ".
CALL BEFORE ; "tDIG
( -6000)
EWEa i t#I'd: .ARE
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%f n 11 p.R••fi. n. n:•j?' CALL •#..j t'+ .# N:..# ;. —TON 1 J P''I•?`'E-,..t i TO
i...COVER: R:h:•n.A 3..:.jr::31 1 ,i P
i :9 C} t } ) 1 7 • :iHOUR WITICE REQUIRED *)t Ji j!!t}?-7S'}{'*7?
4******** 456—'3604 * it iu: ii .. >i
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