1990, 06-15 Permit App 90002771 MHSPOKANE 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, oras a warranty of conformance with the provisions of any stateor local
laws regulating construction. � �
SIGNATURE OF L//�/lam^ DATEAPPLICATION 7„
OWNER OR AGENT
DEPARTMENT REVIEW COMMENTS
:............ ................................................................. �.................................................. —
BUILDING
JHEALTHDIST
SETBACK REVIEW REIRUIRE.,J
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CONTRACTOR= OWNER P040 N E::::
YR/MAKE= 1990
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PROCESSED BY:
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PRINTED BY: jULIE SHATT(]i 671
MODEL- AUFRDON
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APPLICATION
ADDRESS-
SPOKANE
WA 99206
PERMIT USE=
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PLATO=
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OWNER=
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DENNIS
PHONE= 509 924 280i
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SPOKANE
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CONTACT NA,=
DENNIS
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PHONE NUMBER= 5,..j9 924 � .... O i
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DEPARTMENT REVIEW COMMENTS
:............ ................................................................. �.................................................. —
BUILDING
JHEALTHDIST
SETBACK REVIEW REIRUIRE.,J
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MOBILE H n {''1 I::• :'•:' "'SERmoi—f "1' � _.. •. `.+�:-
CONTRACTOR= OWNER P040 N E::::
YR/MAKE= 1990
,
PROCESSED BY:
.......:. .
PRINTED BY: jULIE SHATT(]i 671
MODEL- AUFRDON
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'—.__.wr._... JUL-03—°90 09:18 ID:HEALTH SPO TEL NO:4564716 #093 POI
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IF Y�)l) CANPIOT INSV;lt THIS SYSTEM ACCORDING
To THIS APPRULD PLAN, YCII MI UST GALL THE OFFICE
AT (509) 456.6040 PRIOR T.0 INSTALLATION.
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SPECIFICATIONS
TYPE OF SEWAGE SYSTPA; �'tf
LINEAL OR SQUARE FOOIAGE: �L --
t0 TRENCH WIDTH.- — r ---
r DEPTH FROM URll, AL GROUND S711"CE TO 0��&-.---
or SEWAGE SYSTE�h �►'�ws i �
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