1991, 11-25 Permit: 91008163 Sewer ConnectionSPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 OF � APPLICATION
OWNER OR AGENT _ - DATE
`
PROJECT I,1., ?. i'^ .: ,, "Nt i i•• 91008163 ISSUED PERMIT
DATE= 11/25/91 PAGE= 01
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SITE E:. S? REET=
DDRESS-
PERMIT USE=
•'P:• * k• SEE (a
PLATO=
OF :JI...i::)tvS =
OWNER=
"?R.E:E:.1::..
CONTACT NAME:::
BUILDING sEnv.
:+. ADAMS RD PARCEL O= 26541-163
,i E ! f l ) f l i... s- WA 99037
SEWER CONNECTION . a , r: :: :
. (S91-88)
! 1 a1}
002748 •:L r• "• NAME= V ° ? °•
209 LOT= PitsUA:=
00000000 : ` ".i :: WIDTH=
DWELLINGS= 4 WATER DIST
N S7 Etir» ;t.'• 1ON
NA LEFT= NA
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CONTRACTOR= A PLUS 2':;'I"•J;, Y+•. :.ii� ? .i. E.) ?'t?
STREET= PO BOX 14.1
ADDRESS= �ri_iKAN( WA `
992i4
ITEM DESCRIPTION
•
PR- (i i i °: :' is i ix +" E . l::.
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PAYMENT DATE
11/25/91
TOTAL DUE=
PERMIT TYPE FEE AMOUNT
8996
SEWER PERMIT 50,00
.•'!!('t:,:',:; ?: ? B'(
PRIN. BY:
?.... E H f t ?
r,1••I t T I O
C: :ONTR.A[;••(•i-iR OR
EXCAVATION
.i. L
CALL BEFORE YOt
LU
SEWER STUBS ARE TO
THAT i ?' E Y ARE CLEAR
* iii ir• * •b * P: 3 h: CALL - I. i R.
50,00
E:: I••I i
RIGHT= NA
NUMBE = 509 922 4594
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QUANTITY
SUMMARY
PHONE- 509 922 4594
FEE AMOUNT
i e . 00
.,_..K..) +: * 'a: * 'i,::y: li: * f: P• 1k :K * 1,..r..N..),..n.:P: * •J+::8: ' ' •P: ?!::i:
TOTAL PAID=
AMOUNT PAID
PAYMENT AMOUNT
i
50..00
AMOUNT OWING
• ,00
:`' ?••t t R?.: T•,•.-•.!, -r :•' AVAILABLE ' ,.
I :�.° ..,i •+ 't F•i t 3. i_) „� .). ,`> '•: t THE L.. i.•(.i t...: I 7
1JJER
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� ,
I't 'T is
:'C M THE
nTHER
GA _rIf. }: ?'?:.v; WATER LINES, E!.:! :.
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CHECK
PRI
TRU
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,TICE {'+•' I::. Ia! #.. .i. 'ED
TO c:: i...M .4 E c. T 1 E: N TO INSURE
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COVER i i Nr •!k P: A N: •P: 'P: 'P: 'R
it•* *• * *ii•t?•.) *7e
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