1990, 03-22 Permit: 90001022 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
lawsting construction.
SIGNATURE OF `�� APPLICATION (.9._ �z
OWNER OR AGENT �G DATE
; t L ,, NUMBER=
. . 9_fl, . y2 DATE=
= ! : ti%22r9" PAGE=
d ; :c0
ISSUED PERMIT
tr t) lN? G 49YN9E! ii ?Ji ? E k 9Jt•a! RPERMIT TN , , p ; .iN **Y2*************************
SITE STREET= 'i !,l t.? # #::. 23RD AVE t.:A R...1::; A...:: 27542-192
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — Seoi
P#...A BLOCK=i 't�.... .,.+':i i i! ...!"!•y. e,•�!'. t.:.:::' #•'#• .. ! t..f'..f. ( f. # I:.. � .. �Y # •I ... 7:
c: ,.if'EER::: DAt.1i.. , t:;r=tlil._ t"1 PHONE= 509 ;26 16( 3
STREET= 13001 E 23RD AVE
ADDRESS=?S'= r::fl<:f'!NE WA 99216
CONTACT NAME::: OWNER PHONE NUMBER= 509 c ;. 1603
z ?. ...DING SETBACKS : t! NA III ": i - RIGHT= NA REAR=
.i!'•?!:'?!:'?=.'*)!''?i:N:'?i:'?!:'fi::!i:7!:'?':'?!:'?!::!!::I!••N•;tf:•?F•ji:'?:;Y7;'Ji;'Jj• '}7; SEWER !...#'t,#`!I ! **************************K***
CONTRACTOR= OWNER
PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING c.t.•:.;,,�,I. is FEE '•'{ :. e:r„i-0
SEWER
. .`I I:'...CONNECTION
; JNI.:,#- "O ' .40.00
:. ....NT ..,,f b i u, i i•r'i !
17 1!i.ji.:l::'!i 3!r§!i 1s:'Ai i'7{.:?j.;i• i•T•h•K$i r: ::***)f:**** I"`!:.c�(f`�#::.#'`? i ,`>1.1 I"�I i f•"•i I•t'�Y' •!:•Ar•!k'li•'p:'.''I+i'j: !: ::is i!r...: .. .. .. .... .. .. .. .. ...... .
PAYMENT illi # ?:.. • ."A Y. ....,_ai i!#"!t.).... . .
03/22/90 ? 50,00
TOTAL DUE= ,00 TOTAL Fir:: 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
50,00 50„00 ,00
50.00 50 ,00
PROCESSED I..::tD F.i'Y : FOPEY, :.iF:F:'F
PRINTED BY : F•t..IRR'f' •..!I:::F:'I::•
. } ? ! ? j :. . . .? ? n !ur :A !1 !Jnx? n ! u THANK you ************************K********