1992, 07-28 Permit: 92003937 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
PROJECT NUMBER= 5 0c-:
:•: 3•: 1* r. r 3i # 3E
SII E STREET
9 / ISSUED PERMIT DATE= 07/28/92 PAGE=
r—*14*4*4434 PERMIT INFORMATION ii 3iu:3i 353i ii 343@ie 3i.3i113i34313135.34 3i
GUTHR]:E DR r'ARCEi'L A== 45274,
ADDRESS 'F'CTN.I'tivi::. WA 99206
PERMIT I.
31..11.31 E E
I'j...A74=
BLOCK,-
AREA=
OF BLDGE=
CONNECT I ON
3t.
E::i:::S..T
PLAT NAME= Hl:L..L..l:
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DWELLINGS=
OWNER= l: E.E)i:I:f ON, ROOT
ETRE: 'T'= 1 :F:::::: EE GT.ITI"I1' 1 DR
ADDRESS= WA 9920 '
CONTACT NAME= ALWAYS ACTIVE::
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13I S1 =
DEF'TI-I:1::
1:1:7
i-i0NE=:
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PHONE:: NUMBER= '709 3 > :,. 00
BUILDING SETBACKS: rftNi=N/A LEFT t%3 aLr1-N/A REAR= N.
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CONTRACTOR= i...bir' ACTIVE
STREET. I'i..l 141562
ADDRlji.:;,, SP(:TE:r11d E WA 99214
:ETE.i"1 DESCRIPTION
I:l TP(
PROOF
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PAYMENT DATE
07/28/92 P393 i
TOTAL
AL DUE:':' ,00
PERMIT TYPE FEE AMOUNT
SEWER PI::.I'?h1.1:r 50,00
50,00
PROCESSED BY: .DC -MT. E E:CTir:i:i:_'ri: ROBIN
PRINTED BY: OQri]:TRO''.ri.1 1, ROBIN
PAYMENT
)i )i K W: Ii• )i .h. )i 3t )4 )4 )i. * .,n. ii.:n. i+.1:1..1+1 * )i. 'u• :i.
RHONE= 5,)13 922 070
QUANTITY FEE AMOUNT
10,00
ti
*34 34 3a 3r )i -h. y} yj 3i. ai:.A..x..k. 3i 3i ri ri 3i- +4 n: 31 i. 3i 4 ii- * )i
RE-:CEI.PTx: PAPAYMENT AMOUNT
50.00
TOTAL r'A..i. 6'::. 50,00
i..ITJt FAIT) AMOUNT OWING
SEWER STUB
UTILITIES
CONTRACTOR OR
ELEVATION AND
EX C A'6'A ]. o1'J
70 LOCA):._
SEWER
THAI TEii:.
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j:L..T INFORMATION ].:: r=:1r Ai:i. F:•L..E: AT THE COUNTY
rMEf\T 1,456--:+:5)4)
APPLICANT IS TO r iN
T. AND CONFIRM THE
OR TO ANY OTHER
POSITION OE SEWER
CABLES,
ATiLS, C(` FIE N WATER
:Tr, II :.: ECT,
)Its §56--0000)
3 OE CHECKED
AR AND UNCI:BS.
1 INSPECTION E
HOUR NOTICE 1E
456...3604
14.1434:?
n. )t 'THANK 'Yi:Y.
CONNECTION TO INSURE
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