1990, 06-08 Permit: 90002591 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 c mply 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 issua e of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel t ision 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 C
OWNER OR AGENT C DATE
PROJECT NUMBER= 90002591 DATE= 06/08/90 PAGE= S.t 1
• ..v...
ISSUED PEPM.T
****** *******************,k* 'CIv INFORMATION i{•*N 1 1{'i{•ft 1t'J{.•tt)k 9F){'k'F•it 1!•9{•N'7{-!t•9{•4{•9F iNi?j•iN•*
SITE STREET= 12110 : 37TH % i , ift� . . i �i -90041"' fo -v . , "ti . SPOKANE r
PERMIT USE= SEWER CONNECTION
PLAT4= 004369 PLAT NAME= MIDILOME 5TH ADD
BLOCK= 2 :ZONE= SFR DIET0=
V/,r i� iIj" DEPTH= 148 R/W=
+... .
OF t „+ ,r l s,.'`:::: ... DWELLINGS= +
OWNER= I..I I::»•H PHONE=
O
STREET= 1211 +0 ?: :'h';'"t•I'i CT
ADDRESS= SPOKANE 99206
CONTACT ±'{AN1I::..... FRANK COBB PHONE
NUMBER=
SETBACKS' : " REAR= .
,
r ,i
BUILDING iII j _ Ni` Er . . RIGHT= Nt V �
******K********************** SEWER ! itrIi ,{.t+;'i+:d+i 4•hr i>:::'i+i a•3+:'i+:'i+:�4 ir:•Ai fi:�}; +i�:' :•`+:.�:::::.:•.3;_
1 ) '11 1+ t N P
• CONTRACTOR= CY p°E M r` N C PHONE= c:1:,9 t 9
406
STREET= 12212 EI O"i i;{; i::I:±•'
ADDRESS= SPOKANE WA ..99;'0x,
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10,00
SEWER CONNECTION 401, +` 0
?1'•1}:1+:•P.•:++.'Y:jl:a,..p::11:*p:•K'1+:71:'11:'1+:*•1+:N:it 4k'R'A:->t:'R:*'P::++:*9+: ht ? "irSUMMARY"` r :: n .:N "1 ** k rihri . i *e r*
k nii :*Nc
PAYMENT DATE E I::.±.::I::: i.: r':4 PAYMENT AMOUNT
06/08/90 08/90 e'107
.. .. .
0
TOTAL i AI... .....IF :::: !,1+.`, TOTAL TAL I"A.I.±^i= 50,00
PERMIT TYPE FEE AMOUNT AMOUNT
PAID AMOUNT !fL.i.I::raf:'r
r. F.:.±'{ pf:.i'iMI»i f:%!:il:ir:i 90:.00 00
50 ,.00
r ..
PROCESSED BY : .IU.II...:EI= SHATTO
.NIE::ti? 1:5'( : JOHN i....r:jr<.SI N
*'1C p!.*•A••A'.1:41::'1::1}::*•i+:'1+:'it:**P:31:1+:'i+::u;•i{•il;h;fi.'i,:'i{'*•P.'if.i¢* THANK t( i **.x.*.:!.pti { p pl { :PN ; *; ; ji 1 p
3"FUNAi Rr$ Pi