1990, 07-31 Permit App: 90003660 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
PROJECT NUMBER=. - :%0,9.:!•.",•^y.;y.:J DATE= 07/31 /90 PAGE=
Oi
APPLICATION
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SITE I REt::. t = 12005 I::: 12TH AVE I'ARt':'.I::.I...:;I::.. 22543-0723
f!•) :jRI:::,`•_:',t.,:::: SPOKANE WA 99216
PERMIT I.;;E:= EEWFR CONNECTION . }± J 1
*ii•* SEE NOTE::. )tit''ii
I'`t...t.:j•'i'41:a:: 00296 .'. PLAT NAM !,r!..?fifj i.ARD PARK ADD
BLOCK= LOT= tV t...=
AREA= 000 )0 )00 FE = WIDTH= + > I..
OWNER= !.c!r-j t":Ct E N H t t y i::.f'l, WILLIAM i"_: PHONE= 509 9263303
STREET= 1 n1i:�i�:j'::' t -i ..y'I I_I AVE
AIjDRE[v ... .. '`Pi:ifrAt`1.I::. WA 992.16
CONTACT NAME= LEONARD ctL•°!i .... F PHONE:. BER,:::: S)9 `?2.r :>d:j
...........
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STREET= 11817 I::: V t=t I...I...I: T•i=.i r."•}'T t::}\i E
t:: ftfDR.E;:.,.. • SPOKANE WA 99206
ITEM :iF: :i.:E_'isF t I:1:11"; QUANTITY EFF AMOUNT
PROCESSING..'.I.Ni.r FEE (� 10.00SEWER. CONNECTION '! 40,00
PERMIT�`
I. :; !
1tPE:: FEE AMOUNT
AMOUNT -' i.....) AMOUNT OWING
PERMIT 50 .00 50„.00
PROCESSED BY : ..lIJI.-.IF. sFiA rTi.3
PRINTED BY : JULIE , F'IATTfi
SEWER STUB ("•TE....riL.JI:I... i INFORMATION TS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36 04)
CONTRACTOR OR APPLICANT! I.,�. I !.? FIELD( t...!..!t.:r-Tit::. r'�!r. � CONFIRM !.. ..
I1' L%:Vt"+T:Ftti•.1 AND POSITIONOF ..,,... :l t'�, STUBI:PRIOR TO ANY OTHER
XCAVATION
TO LOCATE BURIED CABLES, t:r c:};•. PIPING, WATER t..:t.i'.?::.::; , ECT ,
CALL...f.:!t...L.., ,
1:.1=t••ORF::. r t.!i.J J_j.I.t..Y (456—G000)
:•i::.iAliii:?", s I L.!B,.. ARE TO BE CHECKED PRIOR TO CONNECTION} !,!?'a iii INURE
!..!?••;+.
THAT I I n::.T ,.,R I:: CLEAR AND D
! ii i ; ; iT ( h i E
>E W R MAIN
,fi � an*n*a :AL ? FOR INSPECTION PRIOR TO : : :Ii
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