1990, 10-04 Permit 90005125 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 orcancel 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. �f
SIGNATURE OF (7p / APPLICATION
OWNER OR AGENT Qi:�-�-�- x1- /YC -(;L'( iiy DATE /
e'.<U..iF.I_.T Nl.lil::;lira{== 90000 —25 "? DATE=i; (�;4!'vr3 PAGE= 'iii
... ` S.J'I.li'D PERMIT
PERMIT
.R+ETINFORMATION
..
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SITE STREET- t ;n 3_ _ BROADWAY AVE;arCP, 4_i5543-0106ADDRESS= SPOKANE:: WA 0924.5;
PERMIT USE- SEWER CONNECTION _- fJLID 85--i
h..u.*. SEE NOTE arr**
PLATO= 008:3:3 PLAT NAME- OPP.,TR. i- 54
U ..Y.. :r
r.BLOCK=L.LOT-ZONE=ZONE=,.,-;,:,..is DISTO- x==
0 �. i
.N. E7 [- T;1 L. T1 tn:>=: DWELLINGS-
OWNER: SHI.' RWl OD, ..iOHN ;:q..L 1NF::= 509 928 inio
STREETBROADWAY AVE.
ADDRESS= SPi_)VANE: WA 99216
CONTACT NAME= .-jOHN SHERWOOD PHONE NUMBER= 509 92R iA10
PU SETBACKS: FRONT= NA LEFT= NA R"':Fi'T= NA REAR- rar:
'1 .. .. ..... ......... ..
SEWER F'' E:. Ft M T. "T
CONTRACTOR= (.)V.NE:R PHONE::;
ITEM DESCRIPTIONiQUANTITYI-FEE cir•;:)i.!P)T
.................__._......---........------........_._.__ _._..— -----...— _...._.._......__.... ----
r.::c>r.rr....,:,,.,,:.. ..
SEWER CONNECTION
.7i..ii.%i(.R.if..)t•.X.'%i(. i(. #..p:-,{. %.�..R. u..)<..p, iE ..h.##..7{.;;..,t..;;..y it PAYMENT SUMMARY iEA:"a'a"i4'&il'iE 3i"7i�ii�'7E it'7C.'M..h..7(..Il, ji..ji..7i.'ll"R'A'ri'A"Il"!l•
PAYMENT DATE. RECEIPT :. PAYMENT AMOHNT
i;3/04/90 hiie 00.00
TOTAL.. DUE::= : i,;;; TOTAL_ PAID= V0.00
PERMIT TYPE:: FEET: AMOUNT AMOUNT PAID)
AMOUNT —):-
SEWER: PERMIT 50.00 50.00 ..;'iii
_...._..___._..._......_. ____— ------------ ..............................._.....__..._
PROCESSED BY: .;c :.iY r)C:. L-, GLORIA
PRINTED BY: WENDEL, GLORIA
SEWER STUB AS—BUILT INFORMATION IS A'VA:I:I.-r°rBUE AT THE COUNTY
UTILITIES DEPARTMENT 4456--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND r':3;� ITION O SEWER: STUB i`R PRIOR 1 O ANY OTHER
riE
EXCAVATION
TO LOCATE:: BURIED CABLES, CAN PIPING, WATER R: LINES, ii CT..
isALL. BEFORE YO" :DIG (.456....8000)
SEWER. STUBS ARE TO :BE CHECKED PRIOR TO CONNECTION N 'T it ;i NNURI':'
THAT THEY ARE CLEAR: AND UNOBSTRUCTED TO ill! F W R MAIN
.ii. d:i#fy.#.H.:*** CALL FOR INSPECTION PRIOR .TO COVER
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. It 7e ...x"A'lt}j�p 'xi'P. r; )f )i'l;xltK#TRlk jt P:ri99 LANK YOU at ii4 Cdr m.x rrx i( -ii �ie.x �xxtr rr ri�di �fi mo•.xn. �h$(n: :,i. ;.; Tri it {y. .t