1991, 11-01 Permit: 91005586 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, 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. 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005586 ISSUED PERMIT
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ie* PERMIT INFORMr'tT10
DATE= 11/01/ PACE= 01
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SITE STREET= 3.05 S LEATHA LN PARG:E:W := 2254i --150i
ADDRESS= SPOKANE WA 99216
PERMIT US_E= SEWER CONNECTION -- LJLI.D 903
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P'LAT4= 001436 F!._A f NAME= LEATHA LANE:: ADD
BLOCK= 1 LOT= I ZONE= UR -3,5 DS
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AREA= I ' J r1 F WIDTH= D:) [:: F T E.I ::::
DIWE I...L.ING,S - 1WATER D ST
OWNER= GF [ENZ ROGER PHONE=
STREET= 3t)`: IEATHA Hir'i
ADDRE:S;i :.'FOKANE: WA 99216
CONTACT V Htl.IU,RD PHONE N_r:.{:,,'-,).. A
fu.J:FL.DING SETBACK: FRONT:::: NA LEFT ' NA RIG! -!T:::: NA REAR NA
d6dFdi.'p'u..hide:i@'ii'diii.:,i-#u-*--*ia .y:i ..:,i..n.u'ri':,i'ii* .di. ,CEIE:.R PERt'S}.I t:***A91 it'A.➢idl..j6.h .R..jL:**Y}i@.1i. ),
CONTRACTOR= H 2CONSTRUCTION
STREET= i 1%si7 E ` ALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE:
SEWERSEWERC�_!i�i'ai_t.:l CONNECTION
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PAYMENT
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
Y 10,00
1 40,00
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PAYMENT DATE RECEIPT PAYMENT AMOUNT
11/01/91 8264 50.00
TOTAL TOTAL DUE:::: ..Cr, t.l hit... "pPAID-, 50,00
PERMIT ..TYPE[: FEE: AMOUNT AMOUNT PAID AMOUNT NT IJIdi:NG
SEWER PERMIT 50.00 0.00 .00
50,00
PROCESSED BY: JULIE .SHATTO
PRINTED i''B'r : JULIE SHATTO
50 ., '00
SEWER _TUB AS--BUIL.T INFORMATION IS AVAILABLE St
LITIL1.TIE:s DE_F-ARTMENT (456-3604)
CONTRACTOR OR APPLICANT 1:S Ti) FIE::LD L.t:)CATE:: AND CONFIRM THE
li l._EvP:'rIOL 'ND POSITION OF SEWER STUEi r'PIOF' TO ANY OTHER
EXCAVATION
.
TO 1LOCATE BURIED I Fi }: E:I} i..'!�t }:i !... i:. S r GAS PIPING, WATER LINES, ECT.
_
CALL�i!iF 4)i�i'r... YOU DIG (456,9000)
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TO EE CHECKED PRIOR
l..i':.n.l{'t AND UNOBSTRUCTED
FOR INSPECTION PRIOR
:24 HOUR NOT:f.i':H:. REQUIRED
456-3604
fi�ECTI.ON TO INSURE
SEWER MAIN
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