1991, 12-12 Permit App: 91008576 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 perm it/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
APPLICATION
DATE
PROJECT NUMBER- 91008576..APPLJ,CATION
T•j F=t I::... 12/12/91
PAGE= 01
* i+? * * i!' ire. ? HN ?,. t t A PERMIT '1!' :+•`. * * i+! . .
PENALTIES WILL I•S �• AEE 1:.: : + 1::. Y_j .L ,.:1 COMMENCING WORK WITHOUT "': PERMIT
SITE i'_I r`'1::.I::.-1 —' 1 :::'?::.:+,:t E-. t.,t.i.•I t'IR"'.}.E::. I/?'t.
ADDREEE= SPOKANE WA 992'6
+F+?: R CONNECTION .... P E . +...... r:. [:: • E („91—E135)
)i•.+: 1C•
PLATO= 001222 PLAT NAME= HILLCREET f•i l.. ", . . 'E ::. i
B:...O,.:{:.::- 10T= :::: `r ZONE= A+_r,:t.!ta I
(_!I::DWELLINGS=
T� L.. !.'•' +.•r ' :::: :1 4e '{ WATER DIST
CONTACT NAME +..1M::.+.: CONSTRUCTION
BUILDING 'TTBAL.
PHONE -
27542-2125
ADD
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PHONE NUMBER -509 44a3010
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ITEM DESCRIPTION
PERMIT TYPE
....................................................
EEWER PERMIT
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R(:CTI••R
''TION
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10,00
v:. .00
E" :: E AMOUNT AMOUNT i t -A., D AMOUNT OWING
EPA 1E!
APPL
I.. O S.1.
THAT THEY nk
CALL
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O: •.+}(•) I .t. O(` IE AVAILABLE .T.......,.::.l t':. COUNTY
ATF AND CONFIRM THE
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