1991, 11-01 Permit: 91005670 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 REOUIREMENTS/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
1::;j
PERMIT
.,. ,..
!l:..i_ 1 NUMBER= tiyl Fi(1"tir'1.., ) ISSUED t,/
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.:> 1. I L.. STREET= i) 1 1 .S KARL RD
ADDRESS= SPOKANE WA 99216
11/01/9i
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PERMIT USE= ':i:i:l/JER CONNECTION -- ixii l_FCREET
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DEPTH=: R/Ld=: _
BOURBON
911 S E{L.AKE 1
SPOKANE LaIO 9
PHONE=
CONTACT NAME= LEONARD PHONE: NUMBER= 509 926 ,':964
BUILDING S C:. i.l't (-'t l:tt7 : FRONT= NA LEFT= NA RIGHT= ItH REAR= v(-
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CONTRACTOR=:. HSCONST RI
E
STRE::T== 11817 E VAI._I...E
ADDRESS= SPOKANE hl
]:TEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
.I.ON
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PAYMENT DATE
11/i0/91
TOTrti.. DLI[-::.
SEWER PERMIT Ii' ni
TIDE
LJA'f AVE
t.).$
RECEIPT:;;'
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PERMIT TYPE FEE AMOUNT
EWER PERMIT 50,00
50400
BY JULIE SHATTO
BY: JULIE SI"IATTD
SEWER STUB ASRUTL.T INFO
UTILITIES DEPARTMENT i<_ca.:',.
GL.IAJTITY
ii..ii.:n..h..ii..iitie i,..ii:.i..y. {'
5 O 926 a964
PEE AMOUNT
10.00
40,00
iiii*ii.*iiiiii*ii)iiiiiy:h:)t .)i.n h 'AA
PAYMENT AMOUNT
50,00
D::: 5 ;:tip..0
PAID= t
AID AMOUNT OWING
-00 ,00
00 .,00
,: IS AVAILABL E AT THE COUNTY
CONTRACTOR OR APPLICANT 1_:S
ELEVATION ft
AND POSITION OFEXCAVATION
1 (} LOCATE BURIED C.AE.{I
i_;AL..L.. T:{I: F OR1iE YOU r rt
SEWER STUBS ARE:: TO I;cEE r::i'IEEC:
'HAT THEY ARE:. CLEAR AND i.ttJ
:)'dt.:ri..n:riiin)ii'* CALL I:risil{ .I.N,S'Plii:(:,
. .
ii''i�i �ii�ii'ii'ii'ii'li'�iP 24t{Ol,.i HOUR fv OT_
i'ityiitiiii)e) )' : )f:,:, 36
LOCATE AND CONFIRM THE
!IIB PRIOR TO ANY OTHER
W ER LINES: ECT.
C;NNECTT[1P1 T1:1 .i:N,,'i..JPiEC
TO T I'H E::: \l I,,i l: It MAIN
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