1991, 11-07 Permit: 91005808 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 d 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, 1 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 l 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= 91005838 ISSUED PERMIT
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SITE:: STREET=: :104 S L..EATHA I...N
ADDRESS SPOKANE WA 99216
PERMIT
)E:)•:* S1 E
SEWER CONNECTION .... UI"_.] D 903
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PARCEL4= 22541 ,
PLATO= 001436 PLAT NAME=:: L_ErjTHA LANE ADD
BLOCK= 2 LOT= i {,. t.l l'J I l.Y rlllth If
r1Rri:r)=iCJ';C:ri) ,01''ir't = F DEP-;'i A.
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n: OF A,L..11l.:.:. i DWELLINGS= !'r n:.lEi..i....l,N(.YS::. , WATER DIST ::::
OWNER=
: rRFE;T =.
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BEELE::R
304 E LEATHA
SPOKANE WA 9
PHONE=
CONTACT NAME= LEONARD:; PHONE: NUMBER=:: S0
LEFT=BUILDING SETBAC FRONT= NA - NA RIGHT= NA REAR= F.
PAGE= 0. i
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d$ifik"li iYalEf6PAPd'j(* xxxxgpinS : k :< PERMIT )i=lRn dnAjxp .xx.xk* 9 k )iPPT
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CONTRACTOR= H nS CONSTRUCTION
STREET= 11817 E 'VAL_L..i._YWAY AvE::
ADDRESS=" SPOKANE WA 99:206
]:TE:M DESCRIPTION
SING r' E E::
CONNECTION
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QUANTITY
PHONE= 509 92O 0964
FEE AMOUNT
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PAYMENT DATE REi::E:IETO PAYMENT .,I,Glii' T
11/0?!91 87..64 =0,00
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TOTAL 11.. A!.1 ': .00 TOTAL In= -; ri.i?i':i
PERMIT TYPE FEE AMOUNT AMOUNT" F:'AID AMOUNT OWING
SEWER PERMIT J0.00 iii).c)0 ,00
50,00 :9.00 ,00
R O C E:L
PER:EN
1) BY : ".JULIE SHATTO
i) BY: JULIE SHATTO
SEW.
-IT
TES
As—BUILT INFORMATION IS AVAILABLE AT THE COiiNTY
iEPART'r•ili::idT (456-7f)604)
CONTRACTOR or: APPLICANT IS TO FIELD LOCATE AND CONFIRM THC
E.L. r_ ,: AT .f DN r..,;:1,., POSITION [1r .,,:.I,IrR STUB PRIOR L._.1-: T.1 ANY OTHER
EXCAVATION
r) LOCATE i i.ir.i:r:::o Car ..lii:Ci.', C: E§ E>:I:E a'f,, IAIATE:rt L.:CNr::S, :CT,
CALL BEFORE f]RE ` OU Li.�.::.
SEWER :'TI_JE(S ARE TO BE CHE::CK ED PRIOR TCi CONNECTION TO INSRE-
TI -!r"'!- THEY !.,;-:!L.i...[.I"I:r AND Lil'tils2. 1ItUi:: c:."i, I tl THE ..I: id:_i=: MAIN
ii di di }4 =;;: di d@3i di �.. (:i t... L.. I"Cii. �. Nd E'F l:f :.i l`J ;'Ct i. :.; r:..
if. '1 COVER 'n:.li..li..;,::n..ii..ji..li.a,; :*
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oa dF :ni aS �)E {:;. )�:p: .... 4 I-II •'J!'; I Ill t;E: REM i.:''1:: i,i �n: ar ::,, _..,.. �,..1,: .)r .I:..1,
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THANK Y OU
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