1991, 11-13 Permit: 91007646 Sewer ConnectSPOKANE 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 or cancel the pr. 'sions 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 /// tV7/
PROjECT NUMBER= 91007646
ISSUED PERMIT
DATE- 11/1'3/9i
PAGE- 01
.,,,************************** . °' t::. R t , ... T INFORMATION .. 1. •ii• 1.:i• 1. K r... r. , . •it• iii -ik .... ,!: •ii• ,. 1. *..:. 't!:.. ,.:. •it•
3y-
::.iANNEN CT
Vr f'tA4 ?H:...# :. WA 99037
PERMIT 1.f «Sk:.:: :: ::r :.WER. CONNECTION EVERGREEN POINT 6TH (91—E28)
is*-hi SEE N i i F : :. ;n; h:•*
PLATO= 005064 PLAT NAME= EVERGREEN EF::N rOi .4 "f' 61T f
BLOCK= 10 LOT=
._ 1 ' 1 .._ 4 ZONE= 1j1 s.' ....3 :.:..} +.? .t. ,:: # :,;:::�
AREA= 000138 F/A= F WIDTH= ?:t";-
0 OF . , r• :.WATER
OWNER= w R " :'c1 ATE"
INC
STREET= # 1 St ,
14084
ADDRESS= SPOKANE WA 99214
CONTACT NAME= B..... : H
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SEWER :.i.:1„• #•v
CONTRACTOR= UNKNOWN
STREET-- UNKNOWN
t.,
t•1�13.rf'�. #::.:.::: -•• UNKNOWN WA 1. %N#.,i'>>i..j W#.
ITEM DESCRIPTION
PHONE- 509 92
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QUANTITY FEE AMOUNT
PROCESSING :E ::E :: •''t' i= i,i'it "i
SEWER C {i#N'aI # i ' 1, to
:g..jj.: j..:.:.:. .. .!..i.:p: {.: y.......: j.: i..p..j}.....ji. * j:....j!t •p. . - , `•`'' t E N .1 ,\ {, L A '. Y iik -}i• •}fi ......}i..... )!, ii• .y,..ji..... }!.:1 {....Ji' ... ...:!i * .
. J ri P 1 {' Jk 1 i �: •' }i''}k ): K•'1 N P P } 1 : f •� fF7 ! ?'. !... # #� # 1.. ' . .
PAYMENT DATE P I •!!• PAYMENT i i1 " #i..} #..j 1'i'. 1
11/13/91 860; 50.00
TOTAL DUE= .:00 TOTAL PAID= 50,00
PERMIT TYPE FEE AMOUNT r•, #••# f13_I N PAID AMOUNT i..i W :f: N iG
SEWER FP`ER "t1. 50.00 ::().:00 .00
50,00 50,00 .: {.'.}'•:J
TED BY: WE_DEL, GLORIA
SEWER AS—BUILT S UI INFORMATION . r AVAILABLE «1
UTILITIES A! f::. I'' 4:t #• . # # "# #::.1'i: # (456-3604)
CON-f RAc: /i 0R
ELEVATI EXCAVATION
i�ION.
t::,
TO LOCATE .B
APPLICANT IS TO Fir
HE rnm.4Ty
1.1::.,; CABLES, GAS PIPING, WATER e:. ?'S: 1......#11::.... , ECT,
IG (456 8000)
E :.I. :IL: :F4 111:f: i tip' ` P BE
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! , THANK '{ 1.7 •..: