1989, 10-10 Permit App: 89003962 Sewer w � 1
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 and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.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 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 nATE
PROJECT I `il.11'lxil::.R= 89003962.:r !,.A = 10/10/89 PAGE= !:':!'t
APPLICATION
.p.*);.)i-)i•)i•.....)F...........)k**1!•**9!'Vii•j!•jti•*ji•*1i• APPLICATION *****************************K
SITE S ii~EE ; 12320 F 12TH AVE r'APi.:I::.....I!'-" : t.•, „
fi,i J L,... '. •: :.:: EPOKANE WA 99206
r'r+.,M ,. L.)Si::::: SEWER CONNECTION :5801
PLATO= 001392 PLAT NAME=- 1<1)1::t I i":i[ SUBDIVISION
l:.'1...i.!!..:K::: LOT=:::: '.Of'•1E:..'-' ('`}+_v,'•t.Ii:i iJ i,,.;. I .i,...::
AREA—
fi fi U.fi",`1::,P:::: i RFscETTA, :••1"d 3 L PHONE= 509 922 1170
,
AVE
ADDRESS= SPOKANE WA y9206
CONTACT : i 't - LEONARD _ } > PHONE ' ` . L926 ... . ...
BUILDING .`: } t"1}•'i••:'••... . FRONT= NA LEFT- N(.: RIGHT= NA REAR= }:.IA
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CONTRACTOR= H 1 E !..:L.11'd::• ! 1•+:l.3+..: 1 1:i.)N PHONE= 509 926 8964
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ITEM DESCRIPTION QUANTITY FEE AMOUNT
IJ C• •,., •1'J 1 },.. ,f 10, 00
EEWER CONNECTION 40 0
PERMIT TYPE``E i"EE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50. 00 .. :'".:! 50 ..00
50 , 00 .00 50 ,00
PkocESSED BY : -' 1... 4.i... t'. I
TO
PRINTED ... . ...........toIE :::-I"IA : ti.?
SEWER IE AVAILABLE AT THE COUNTY
'! .!.L.f. i .i.}.:.::: DEPARTMENT !
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CONTRACTOR }s e' +:.�j 1' 1 !
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ELEVATION .!1`.!1_1 :i...................•.7`•; }_)}'• ... .... ..:.I". ,.. i }..'•?"' PRIOR TO ANY OTHER
EXCAVATION
CALL BEFORE YOU DIG .:.456-8000 )
THAT THEY APE CI. EAR AND UNOBSTRUCTED TO THE SEWER HAIN
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24 i EPEniiTu
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. 3 OB ADDRESS: e ( 4.-- )-043---o. . ' (/ 04\
SUBDIVISION: D-S '/( LOT : BLOCK:
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OWNER: 74A.. l i) -----._,(-) .-7 PHONE:
ADDRESS:
CONTRACTOR r PHONE:9D_-. --.7-9
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T R:. C`�� S
ADDRESS: i 1 q I L 1.}Ci C._-! Q L.c.-) cii c-? L)C f?
LICENSE #: 1 --`"V l a 541 ' ) 1
INSPECTION DATE:
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TYPE OF OCCUPANCY: VQ-� I _- __-(?___V-1C. -