1991, 11-01 Permit: 91005674 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
PROJECT NUMBER=91005674
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SITE " -1 1 i I Y
ADDRE
F1 I T U.>,
S
23 S BLAKE RD
FOKANE WA 99216
OTESE::wE:R itCONNECT TION
3e iP
r.:EUED PERMIT
E •: i-i:i: 1 INFORMATION
(:;p -_ 002752
AREA= 00000000
ADORE
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FLAT NAME=
LOT=
;-A=
i
JOHNSON
1623 BLAKE RD
SPOKANE WA 992-16
CONTACT NAME=:: LEONARD
BUILDING SETBACKS: FRONT= NA
SETBACKS: LEFT:::: NA RIGHT NA REAR= Nei
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11/01/91 Ecz;>;:E:::: p'i
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FARCE = 27541-1024
VERA
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F WIDTH=
ER DIST
PHONE-
DISTH
V9-IO1NE NUMBER= =5(,9 ry,.4 0964
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OR= H &_S CONS T RUC i L,ON
11017 E. VALLEYWAY' AVE:.
SPOKANE WA
i C::-1 t:)E:,:>r.;RIPTTON
sING FEE
SLUES CONNECTION
i_nx:*ek.;t;,iiriririiiPAYMENT
PAYMENT DATE
11/01/91
TOTAL DUE=
PERMIT TYRE
SI:Ei.ticR p RAIT
I::•Eii..CI::.
rR1
QUANTITY
Ri:::cE-[ TT
..5264
:00 TOTAL..
FEE AMOUNT
50,00
BY: JULIE SHATTO
JULIE .SIfAi ID
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509
926 R964
FEE AMOUNT
10,00
40.00
)i'*.a..g..*-:-di.ii'ii'ii..-x-e.-e-x-..D)ii.:,p.;p .—:,i'p:ii.
PAID=
AMOUNT PAI[)
50 '00
,00
ii:i:WE:iP STUB AS—BUILT INFORMATION IS
i .L I. LII[:. ,> DEPARTMENT (456-3604)
CONTRACTOR OR AF'Y`L..I
ELEVATION AND POSEE T:L Cti
EXCAVATION
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11 LOCATE ::. :{ f( EV ;:pati,..
ALL BEFORE YOU DIT,. i.
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STUBS BS f^ 1r i.. 111
MAI 'MU ARE CLEOk
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TO FIELD
EWER S T H
;AS F'TiINL:,
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HECKED PRIOR
Uf`,iOBS T F -i i;,: i ED
RUCTION PRIOR
NOTICE REQUIRED
56-3604
F•AYrlENT AMOUNT
50.00
50,00
AMOUNT LILTING
..........................................0
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TO ANY OTHER
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