1992, 09-15 Permit: 92007653 Sewer ConnectSPOKANE 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 y state or . I law regulating construction, or as a warranty of conformance with the rovisions of any state or local
laws regulating construction. ' 1
SIGNATURE OF '! ,�Q APPLICATION / / `r
OWNER OR AGENT /�� DATE ` U
PROJECT NUMBER= 92007653
9Z
... , , U:.. % , PERMIT DATE= 09/15/92 PAGE-. 01
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7.l)1'i.'•`.i::.:.,.. `'ri::. ;i!ALE WA 990
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PERMIT
`. E W E F CONNECTION DRY (92E-92)
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BLOCK= 1 LOT=
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•I• WATER DIET
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ITEM DESCRIPTION
................................. ...............................
PROCESSING FEE
CONNECTION
EEWER
*W*****************************
QUANTITY
PHONE= 509 924 0650
FEE AMOUNT
. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .
1 .i t,:j .: 0 •
PAYMENT SUMMARY
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
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,
fit :
t •( ,.:... FEE AMOUNT AMOUNT . ' f 3 .i.. AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 0 50 .. 04;i .00
BUR R 1. i .t.j r 3:f l......
RE
ARE
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ON IS AVAILABLE AT THE COUNTY
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OTHER
PIPING, LiF{ ! I::.s'. LINEE, t...0 I .
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:MN l::.1..: HON ! INURE
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