1991, 11-27 Permit: 91006551 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: or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
i.'RC:..ii::C'f Nk .1t :::R'::: 9100655.i
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.14E STREET=: '1709 :S' B1._A131::: RD
ADT3RLE:SS:= SPOKANE WA 99-206
- PERMIT USE= SEWER CCINNEC-T':ON -- WOL..FCRE:S'T
;<.;i..k. SEE NOTE: 3r3*,
I:i:isci.T.T DATE= iii ':"r,!01 .. . PAGE=::- iGi
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PLATO= '00'2752 ' PLAT NAI`'j_= 'VERA
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PHONE
OWNER= KL_ASSF:N; GARY L.
- STREET= 1 709 S BLAKE -RD
' ADDRESS== SPOKANE WA 99206
CONTACT. NAME= RON SL_OAN_. ' -
I !ILDTNG SETBACKS: FRONT=:: NA --
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CONTRACTOR.,, ALWAYS ACTIVE
STREET' PO BOX 14156
ADDRESS== SPOKANE WA 9921 4
FT
SEWER PERMIT
509 000 0000
PHONE NUMBER=: 509 922 R5O0
RIGHT- NA REAR:::' NA
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509 922 8500
. 1. -
I: TEM DESCRIPTION-- . -. ..- --:' - -.QUANTITY 'l EE: AMOUNT
PROCESSING FEE' .... -l0.00
SEWER CONNECTION - _ �i_ 40..'00
;�
3•i)a ii X. 3i. ii )c'ii-L�}i. di: L)•i4.Lid{'di. g43i�di.31:..X. 3{.3{.3¢3@.ri.3i�3@3k 3f) F'::3Yj"1 E:.'fil SUMMARY ..it"i@*dk @,hir'ti'3¥•k'k^I{'3t h; 3,33631.31. 36#*3E 3e *
PAYMENT DATE: _
-• -
.11/27/91
TOTAL DUE= -.00_. :TOTAL PAID
PERMIT TYPE FEE AMOUNT -_ . AMOUNT PA10
SEWER PERMIT' - -50-.00 50.00
C0,00 . 50,00
RECEI P77,
_PAYMENT AMOUNT
-50,06
.5 ,0
AMOUNT OWING
00.
.00
PROCESSED BY: JULIE SHATTO
PRINTED BY:. DOMITROVICH, ROBIN
SEWER :STUB- F+S.'_BUILT INFORMATIGN IS AVAILABLE AT THE COUNTY
UTILI.:T:IES.•DEPAFtTMENT, 4456../3600�ai ,
CONTRACTOR OR APPLICANT IS. 1_
ELEVATION AND POSITION OF. SE_Idi
EXCAVATION .'
TO LOCATE:: BURIED CABL..I
CAL..L.. BEFORE YOU D.LG, t..$'jr',.._R,, t;
SEWER STUBS ARE "f0 BE C'.HECKE
THAT THEY ARE CLEAR r' I IAND L.Ii4fB
'36 n)3Eii3:**1** CALI. FOR . IN;:: PE:
3.:di'di'3e+i'3e3 L)'L} 24 HOUR NO
LOCATE . AND CONFIRM THE
.4!t133 PRIOR TO AN'{- OTHER
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11
1.1ATER LINES: ECT.
TO CONNECTION TO INSURE
TO T1141E SEWER MAIN -
....
T l.! COVER *;i'34 di'*3t.*dHe*.
THAW-YOU
363E*
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