1990, 06-01 Permit: 90002120 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 bF `/ / APPLICATION
OWNER OR AGENT r" . _ .'� DATE
PROJECT t Ni..Jii:BE;.R= 90002120 .DATE= :9.._
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SITE ETRE:ET= 15 f.:I05 I::: 2:3RD AVE P ti L.4= 55-45 9048- 8
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PERMIT USE= `:I::.WI:::I"•. CONNECTION .... " :EDGE M('.I T I::`Z"(I±T._.... NO. 1ET
PLATO= 003 716 PLAT! lE :: RIDGEMONT ESTATE` N04 I '.T
BLOCK= LOT= ZONE= SFR DIETO-
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OWNER= V . _^ } ` L ^NLiI C
PHONE= c0 489 4260
STREET=: i . 815 IROSEWOOD AVE
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CONTACT NAME= i...t i I`'•Z i..:t:. D f.:i..,i:.Y 1...A; `, PHONE NUMBER= 5:09 FRONT=
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DESCRIPTIONITEM QUANTITY FEE At`11:.IL!ia..i.
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PAYMENT DATE RELETPi :;i: PAYMENT AMOUNT
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