1990, 07-13 Permit App: 90003295 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= 90003295 0ATF= 07/13/90 PAGE= 01
APPLICATION
!:i!}:}t•1t••it•7+i 9+i :•i!•9k?!•i!')2•$$1£- i•it•f! i+:-It:c 4t 4-ri•! (`it #"t i....#.f..A.i-I O t'SITE STREET= 12419 E 14TH AVE 1!? ..... . ....!?•i:"of-..i-4E It Jf•?k t4 i4!::, ... .r ij:• i+;i'. +r i!:
PARCELO=
ADDRESS= SPOKANE WA 99216
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PLATO= 001392 PLAT NAME= KOFMEHL SUBDIVISION
F r t_t-.. t.. WIDTH= ... ... DEPTH= ._ _ R/W=
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OWNER= FANN, LARRY
STREET= 10004 THOMPSON AVE
. ADDRESS= YUKON OK 73099
CONTACT NAME= TOM STONE l.!!'-fl::. PHONE NUMBER= ?':v 92H "I 0
FRONT=BUILDING SETBACKS :
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4klPYfiFRF9 ; ; . t . R . :. . *aAta] ar # : PERMIT
• CONCRACTOR= TOM
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STREET= # q Sip'# " ' D
ADDRESS= SPOKANE99216
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ITEM#.:.M 1%I:..::.•t.:RIi'` ! Ii..j;N QUANTITY 1—E17_
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PERMITTYPE i^t.:.!._ AMOUNT AMOUNT t: ! s AMOUNT OWING
•
SEWER RhRm.f.T 50 ,00 ..
•
PROCESSED BY : jOHN LAR:MN
PRINTED BY : jOHO LARSON
y ..,.t,..:.: giuH !.`;i. Y`:}!,•, v !`r'#,` i } i N TS AVAILABLE
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CONTRACTOR e'= : !.-! * .t.e.` .. t' ........ t.. � ! ! AND i.:,i ..
CALL BEFORE YOU DIG (456-8000)
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