1992, 02-11 Permit App: 92000740 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. 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= .200 _,7410 A fPRI 1 GAT TON
DATE= 02/11/92 P GE:;_ Fri
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PENALTIES : :
ASSESSED FOR COMMENCING WORK WITHOUT f, r
SITE STJKE
ADORE
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ANE WA 992A6
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PLAT NAME=
lu LOT=
000000 F/'A=
C DWELLINGS:::
OWNER,- I'CIN1AR, LE ROY
STREET== 13215 r[ GUTNR:Ers. DR
ADDRESS== SPOKANE WA 44216
CONTACT NAME= OMEEC CONSTRUCTION
BUILDING SETBACKS: FRONT- N/A LEFT
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1 BOX 88
ADDRESS, SPANGLE WA 99031
ITEM DESCRIPTION
F'ri iIi`. F :TNI_: FEE
E.WE:R iGONNE;. TION
FEE AMOUNT
50.00
PEI I I rPE
SEWER PERMIT
Pi?tTI:_i'r:,£SFD BY: D01ITRO'V:f.CH,
PRINTED .BY: .Otari:i:Titr,w:LCH,
50,00
ROBIN
RODIN
2ND i11)»
TDEPTH=
i
PHONE
PHONE: NILJMBEF<=:: 5C 449 3010
RIGHT,:N/A PEAR:-
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F I..I iONI: = 509 4"48 '010
QUANTITY FEE AMOUNT
`T
10.0
i 4 i, ,
AMOUNT PAID AMOUNT OW1:Ni.
.00 0 . ti=; C;
.00 50,00
iSli::i,:ii::P 3'T'UG AS—BUILT INFORM TION
UTILITIES DEPARTMENT (4E 5r,,.... ? ;'WE)
CONTRACTOR OR APPLICANT IS
EI.i:;'ut)TTf31•% AND E't:}k':1T:tf}N OF
EXCAVATION
..
TO L..[Cr.:)T ::: BURIED CABLE
CYAL.,1 < FORE YOU DIG (4
E TO BE CHF
E
ARE CLEAR AND i.
CALL FOP 7:i'4SPEf
HOUR NOTA
ALATi._ARI..E: r';..I. THE COUNTY
[ID L'Ji'.A_(E ANfir:i I:.ftf,ir'r rF{i"} 'I HE.
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TOR TO CONNECTION TO INSURE
, TED TO THE SEWER (=LAIN
IOi TO COVER KA.****A.***
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