1991, 05-28 Permit: 91002795 SewerSPOKANE 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. 1 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 loc law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION Z �q
OWNER OR AGENT DATE
PROjECT NUMBER- 9.1002795
ISSUED PERMIT. DATE= 05/28/91 PAGE- 01
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SITE STREET— 15905 E
ADDRESS= V—
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WA ::i•:;:"":
PERMIT :,:• ti CONNECTION .
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OWNER= t_t: � ?JON
STREET= # +`.. t'e i. t l''F .L 1'' E F ,:1 .L 1 •'iADDRESS= SPOKANE 'WA 99206
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CONTACT NAME= NORNPHONE NUMBER= 509
922 '8114
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... _,. r..., . DESCRIPTION ESCRIF• _:.1:i, iN
P• r:; t p
SEWER ON
QUANTITY FEE AMOUNT
7`• • 10.09
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PAYMENT DATE
05/22/91
TOTAL DUE=
PERMIT TYPE
•
SEWER
PERMIT
1"•.I::.t.•1»..1.1:: I :N: PAYMENT AMOUNT
?
118 50,00
.00 TOTAL PAID- 50.00
rs#'?f, t.?N i AMOUNT PAID AMOUNT OWING
Ni..
50-00 5000 -00
50-00 - 00 ...:.-0 ,00
ENDPRO ? t.: ,... ,.`. ,.: 1:::: t1- l:: ! ?4t i». #'i ?,i 1.:. {... } GLORIA
d::i. 1 i' -?•i s:?i _,•;;' W1:: •?D_:.#_., GLORIA
SEWER STUB i::,,,,....(:i!. {s.1... 1 INFORMATION IS AVAILABLE AT T F' E COUNTY
UTILITIES DEPARTMENT (456-3604)
?.: i. { r•? 1 Y': l:+. E r i U #'t OR (::f.:::! #... I ; . i.:, nt { IE TO FlLOCATE c=! N .li CO
._ #::. `k}` A T 1: ► N j"'tri i;: i-` i `'' ! i ',.! •• ri' : i_ i ;sPRIOR TO ANY
.: A d`A••I•.#. #CSN
LOCATE
SEWER ETUBE —
THAT THEY
h t" PIPING, WATER
t.: i'11.:. t.. `'. o i t: € .i F : T? ; ?.: t_i 1 is t:. i is ON _ INSURE
AN i i 11`«# # ,1? i. l: !^ :j tll::. ?r:.>ra?:::h4 1'6•;.1.1'•`.
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HOUR NOTT,1-.... ....: i,: , t ,_ i, } ********K*
9 , , Ptt? ii:::::•..? : t „ tn t c : i ii* iTHANK !
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