1990, 06-01 Permit: 90002117 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
`V. 1 l sBROADWAY 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
OWN ER OR AG ENT .....,-.or . . -t2,Gi DATE
PROJECT NUMBER—
U''± {':::I' 9000:117 DATE= {:?,~}.{: gr9{:J PAGE= r:.:j•j
:E:SEUE=:D PERMIT
a { jJ1f1 ;: t :1Jk: : ; ;* t 1 : {.kP : PE [ ' EY INFORMATION
*949t•9!•;n:•71-i:•**9i•*!¢ji.ji..jy. tn•!!••j}-!¢***je-iu.•.xi•jti•jei
SITE F: w;TREET15727 3RD AVE PARCEL4=
WA 9
ADDRESS= t• (�It d1!`�!':. :s :y�J'! '''�'� 25545-9048
PERMIT U 'F:-:: EEWER CONNECTION .... R:I:t:j f:E:::i:•i(:i c ..f. ESTATES :�i.i ,t ., ,,,i
F'I...r•t ! 0._. ; 03x16 PLATrt NAME= I . jYtlJ. -r - _ . it
: '
BLOCK= ,
F/A= F WIDTH= 108 i r F:= 125 1•?; .. �- 60
„ t.. i.. BLDGE= }• DWELLINGS==: i
OWNER= DOUG
EAS , E...A±'•-f.:.;.:E G PHONE= 509 489 42::0
,.> ± I•!.E::.F::'T'�: 815 E::. R O,..E:::Vit,.?t,t., AVE
A=i i t t.•'Fi F::,..,.. •• SPOKANE i,J c:a 99208 9'?{c
CONTACT(?l.: I NAr''E= I...f•',t'yzt.:t::, OUGLA :.'
PHONE
RIGHT=} hNUMBER= 5(9
489 ;` :cBUILDING s ? r ? t5 : FRONT: N ? LEFT= NA v' F :- _: ;;
ti:.t.*•i•:*.4 i;..j,;.*...h:. .. .*..P:.,;....*...t••.•. SEWER FrR d ET
*****:*****************y:******3i
CONTRACTOR= DODGE...{::,,::•:s , LANZ.C.. l:, PHONE= 509 429 42
60
,.; (!'!.I::.E t ... 215 I' £{i"I F::tf OO D AVE
F I?i.?FtF:,:.'s:•• SPOKANE WA 99
ITE.....�.::t t DEECRIPTION QUANTITY r-±::.F:: AMOUNT
I Ii'.f i::E::::'S:E:Nf FEE (
SEWER CONNF::c::T:E:ON s 40,00
;,,....'Jt•*n;•u-•:•***-R•**n•*i44 br-hr*k..j,,.*•Yr P:.j(..j,...j(••A*
i::A Y M E:N T SUM M A R 7 :k***************************
PAYMENT DATE±::. R 1-.t.:E:":1.E••'T:H: PAYMENT AMOUNT
06/0i /90 2863 50,00
:j
TOTAL TAE... DUE:::: . 00 TOT :., ,.T
PF::Ri''i:[.T. TYPE FEF:: AMOUNT AMOUNT PAID AMOUNT OWING
E::.WE:::R. F''ERi`'iI i 50.00 5 0,.00 :.00
PROCESSED S,'\F:.D {Y : t,tI::.NDI::.E... , GLORIA
PRINTED .B Y : I"1.:1 Fi I' Y, JEFF
n:4 •a•4 4 •P:.J{..P:4:4*4*4{:4*4*4**4*4*k*•ji..j,,.*•j,:•j,:•j(•:J,:* .,r*u: T t 1� ... .. .. ....
.I F�r`E P, {'I„J{,I .,{•.l••P:-P:A:34.�i.{••Nr a-Ni a'P:-Pi•Pi'P:3,:'Y:•A:;',:*•P••P:it•.,,..P:A:3,i 3.•hi 31••Pi P'