1991, 12-19 Permit: 91008026 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 APPLICATION
OWNER OR AGENT DATE
R:._iEi_.: i• NUMBER= 91008026
ISSUED PERMIT DATE= 12/19/91 PAGE= 01
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ITE: E M...+ 1 04 i c,L..:E TON ST
ADDRESS= ,:::. SPOKANE WA 11
PARCELO= 27541-1905
PERMIT tt.',•i•:= SEWER C•+1NNI::.C::. .E.::IN .... WOLFCREET 4914
t... ? ..,,: _-• 001841 PLAT NAME= t.1F'`Pi' iR7'% i:vIi{ CE
BLOCK- • ? LOT= 5 ZONE= AGEU D I.,ST4=
AREA= 00000000 {1=" F WIDTH= j• ,% DEPTH= t`•i 1:::/W= 50
OF ! i .: ::.. rDWELLINGS=
1 WATER I::.R D.L,'• k ....
OWNER:: ._if` �ti DON I:::.1..iMER I...
OWNER ,.J1,
6TREt-T= 1704 E'L,LINTON ET
ADDRESE= SPOKANE WA 99216
CONTACT N M.: iU C ; iNiEXCAVATION
BUILDING "� _Y_ AC K 4FRONT= S .ALEFT=
EFI:j � iAi
PHONE= 509 926 0776
;:;HONE NUMBER= 509
RIGHT- jt} / AA? REAR= N
92R
_)42..
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CONTRACTOR= t.:?.!uRc:H1Al:r NE:. CONSTRUCTION
STREET= 1.A;'ta_ E 4J Fri L L..: W A Y
ADDRESS= V ' I:s f.:? _> r"a LE WA 99037
I:TE". DE::E Ri;-:T1ON
PHONE= .':i(`:'r' 924 !:;t,i::;:''.
QUANTITY FEE AMOUNT
t
PROCEEEING FE:. L:. Y' 10.00
SEWER CONNECTION 1 40.00
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PAYMENT DATE
12/19/91
TOTAL A%U1::.:::
PERMIT _.r.
..°EWE"R PERMIT
PROCESSED BY:
PRINTED BY:
RECEIPT4 PAYMENT AMOUNT
9569 50.00
t`i r"
0.00
:E- AMOUNT AMOUNT PAID AMOUNT -h31f
50.00
50.00
ITROVICH, ROBIN
.1, t F??_!ij I.CH, ROBIN
IN
50,00 !moi 0
..... .... .... ............ ........ .... ............ ........
50.00 .00
EW 4 - _.
,.; ?' ::. E'4 : � •, I i_! s'? AE—BU I. i._ ! INFORMATION 1E 4 A `e' ? A? .i. i... A B I j::' AT THEI'!
UTILITIES t1r:.F f• rt. t I"iFN ! (456-3604)
:t 11? } �''t:
CONTRACTOR }a _.. ] A J T TS TO FIELD I : r AND CONFIRM
THE
ELEVATION A .:. POSITION SEWER IOR O AN Yr
FXCAVATION
TO LOCATE CCBURT ORE / E: !: i..: A .B L
CALL
?; r:I:F I.NG; WATER E:R LINE: ECT.
!.it:i0
SEWER :: ARE: TO BE CHECKED PRIOR OR 1O CONNECTION TO INEURE
THAT 1 1 ,..HE::. Y r•?F;1=. c.:!EAR AND UNOBSTRUCTED TO THE SEWER MAIN
it •H• :'t P.• 't?' i¢ :}t..p..j(. CALL ,.. i.; t•: INSPECTION PRIOR TO COVER 'F: N. * '},: li.:tt 'N:* Ji •tt
):• :y: a':• !!• :" ?!: )+.' it: .., r-11 1!R NOTICE RC:.Qt.!.L1 1::.D '}!• ' 1' * 3i• Jt• )!' 1t' F•'):
t! } - a 56-3604 'u: )!' H A:• •ik Jt• )t• ri• •ii• )?.
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