1992, 10-27 Permit: 92009405 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 u submitted»v me or my agent n 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
- ••••�
ADDR
TT- 12707 E GUI�K�F
= SPOKANE WA
= %EWE�
H- TO- ME= HILLCRE%T ACRES 2ND ADD
BLOCK= ` �JT- 2 ZONE= AG%UB DI%TO=
AREA= /A= F WIDTH= DEPTH=
Cr 41; :OWE, WATER DIET =
UWNER=
�TREETTHOMP%ON
T�= iRDR7
:DRESS= SPOKANE WA 992O6
CT NAME= H & % CONSTRUCTION
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SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
**************,
PHONE= 509 922 0797
PHONE NUMBER= 509 926 8964
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��ONTRACTGR= H & % CC„, 1,6A PHONE- 509 926 8964
KEE'= ii8i7 E VALLEYWAY AVE
WA 99206
ITEM DE%CRIPTION
`:OCE%%ING FEE
EWEk CONNECTION
FEE AMOUNT
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.************************* PAYMENT %UMMARY ****************************
RECEIPT4
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