1992, 01-31 Permit: 92000554 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BRdADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certdy that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said perm it/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 thevisions of any stateAr focal law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating constructionSIGNATURE OF
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OWNER OR AGENT �l APDATTEICATION J� ` /q Z
PROjECT BE
P % il"'M1"A"H" Il"R"P" 1C'pi')ll' 94"14" 14''1;
2-00754
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DATE= 01/31/9:2 PAGE=
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FRONT= NA LEFT= NA
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PHONE=
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ITEM DESCRIPTION
PRO', FEE
SE::WI:E' CONNECTION
44******************** PAYMENT ,.:.M4[ ¥
t.l l'!rl {::!I'tiY
PAYMENT ur-iiE
01/31/92
TOTAL i_UE:=
RECET
634
.00
PERMIT TYPE FEE AMOUNT
SEWER PERMIT 50.00
50.00
JULIE
JULIE
Ij Ei S'4 I_J:c{
I...I11..ES
CONTRACTOR
1._EVATION
CAVA i TON
TO
L..
CALL
PHONE= 509 92:'4 53
TOTAL 1'MI[i
AMOUNT PAID
50_x 0
50.00
FEE AMOUNT
i .00
iiENT AMOUNT
50.00
50,00
fel I''1 i.l I,J i ..' 1.1:,.i 11N tr
.00
t)t-;
....BU7:L..T IN1 ORMATION IS ACLABLE AT THI- COUNTY
h91', 11't t.'. In 1 t. "f ::?%, —3604)
I CANT
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Iti HP'1^'!._ i. l: f9!tii �j .r..y TO 1'
1`'i_1.'. 1 1 ION ii(- .SE t+11::.6<
LE BURIED
FORE YOU
SEWER I'i TLJt s
THAT I `iEY /Y
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or i,. it it ie ix rir m: *or ;x
ARE T
L_. i.:fAr:
L.. . rOR L
24 HOU
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F: F:ING, WATER i.J r'?ii:,S, Et:.1
PRIOR f.. ..
1. 1.:;_:_:• _ CONNECTION ._
ilii h'.$1'tUCti ii TOCOVER
TETE ...?{EW,il-I MAIN
_
-110N 7" 1't 1. 1,! 1't I t:l : a.i'H C:, 1¢: )l)'14"p) ii"P' 14' 9i' 94'1@'!l'
REQUIRED 4: u' # fi. ;;..p:' d!ar i.,r
44 14' )f)l' ii" ), )l' 9l' ii
1
!1< Y'OU i -is*- $ #.'*;4Pr T)$.{R i4 T)-; n)i`#.Cii".'94.$:P: 'Pr#+:. ;r: i': 'R in.).;4
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JOB ADDRESS: /I/ #2 a 5 Lace,S'�Y" f?d
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SUBDIVISION: / �5e�1o�-Wj LOT: //
BLOCK:
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OWNER: F4/7 F,�le Aso ,- PHONE:
ADDRESS: Set '+`--e--
CONTRACTOR: CA; i/ t' F t / o y Cu --rim
PHONE:
ADDRESS: ,C/S 6-/( Iy t' (Jerw1.i�
LICENSE #:_
INSPECTION DATE:
TYPE OF OCCUPANCY:
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