1991, 11-01 Permit: 91005671 SewerSPOKANE 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT Hii'y )r:'P= 9100
1:SS'I.IED PERM!.. DATE= )1/01/91 PAGE= 01
r mdi)rai4f k PERMIT I+Li i t .
BLAKE RD
h: 4A :?9216
PERMIT ! CONNECTION - WOLF -CREST
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BLOCK 11000 LC I ZONE= SFR DIS -'q=
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AREA 00000000 F-: rj�=� r WIDTH= iii 1-1-- t')f:-F��-i i -I:-:
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OWNER= LYNN
5 S BLAKE RD
t)T)Ii ES y:_-, SPOKANE l!,: Ll ' J ''1 f)
PHONE=
CONTACT Ury:_=LEONARD PrONrN)M.s-R_-
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09 '926 0964
BUILDING!?BUILDINGSETBACKS:E.:.. SETBACKS: !=I%iai:!)-:::: NA L..e:.l- I-:. NA RIGHT= NA hI_r`?i%r-'. NA
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CONTRACTOR=
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L,.I,I i`:� ; 1 f^)4.: 1 4JF{:.:: i' 7. ?: 1.: 1. I' J. 1 r'. l...: 1.1.11 PHONE= 6 8964
.
STREET= 11::11 r L:. V all._L..r:YwAY AVE
ADDRESS:: SPOKANE L1A 99206
'TEM_P LE.:: !°iiI .1'QUANTITY F
: 1 ,!p'. .).11..1
_
10.00
ELR CONN,%, i 'il<l ? 40,00
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;.. h9 Iti':. 1'v l DATE I'•: E L. Fr' hr PAYMENT AMOUNT
11/01/91 264 50,00
. 9''
1t,1r1!... IiF:::... :,(:'.a TOTAL r'pi 50:0')
PERMIT TYPE FEE Ai40Lli4T AMOUNT PAID ' � AMOUNT OWING
SEWER !:''ERM]: ( 50..00 50,00 ,00
50,00 50,00 . .00
.. %. .V ....
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FIJ.ii_:D BY: JULIE •S!-A(TO
'TUB AS—BUILT INFORMATION IS AvAILABLE THE COUNT'!
Lil :F!..:F T :FES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO F
ELEVATION VATIOt4 AND POSITION OF SEWER
EXCAVATION
TO LOCATE B _!R 7: E:P C:ABL..
(:,(=i`..i._ BEFORE YOU DIG .
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OR: TO ANY 11 T ITER
G:,` PIP NG, LJATE:R: LINES, ECT,
STUBS
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SEWER 1 t. .a.. ...i 1'•. C. 11_i .t CC 1-{"::!..rc CL J PRIOR 11.1 1-.l; r:i2 -.(.
THAT THEY ARE
H('i_'lR ' iRCE"iEi TO Tr
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