1991, 05-02 Permit: 91001532 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 l understand that the issuance of this permd/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 iNu Mli(EE.;F?:=
-e •) ;e )-) .-3" oe to ie.).
ISSUED E'El:E2rIT.I
**)he :PERMIT INFORMATION
SITE STREET= 1,...m75., E, HtciIN FIVE - -
ADDRESS= SPOKANE WA 99206 •
PERMIT
-X3e* EEL
RI_r=I'T i5_
'BLACK=
1.i.'; OF NAGS-
OWNER=
lt. DGSz-
Cti,:li`•lE::R=
STREET=
ADDRESS F
CONTACT NAME=
BUILDING SETBr^:t:K
i-:ONNECi ION — 1.0:17_..j
—PLAT 1- NAt1E=: OPPORTUNITY
LOT= :'.CNS::::
E:'/A= I:, 14.1,I)TH=
C)i,FI...I...:i.Nf ,1:: i WATER
PAGE = 01
3f )k#h)3e3e)evt'**.*3i de if ie,/
'16543 "--.0 4.4. - '
49INC 14a-35
-ICONTRACT
Afl0R
]:TEM rESCRIF1
r
TOM STONE-i'Hi+iE
('!(1 LEFT:::: Nla R:I:i:;i-;T.::::' p.li,
.
F RMT: l . .
)e -He SEWER 1
iii.`''; i; fit'•: r1'i : TJ i:;
1'
19<2,4
nN
.ON
3r**.df..}f..A..JL}i.:R.ji')i.:If':It.**.*'9f'Yi');'A}'S.P}dfdk9:* df'ii'**.
PAYMENT 1.i( -1T
_i. 01F:t__.6' t.'t:;_" -.
• IiiE::REll: .T ..i...i1't:.. ' -` f: [;E
.311111.4 11'111:111•!M T -T
IJI If')N-i ]. is L
pii-li'i HER::::" 50? 9'
Sex—X':ni-eae•)i -)e.X--)-&-X--) X3:: 3': »-IE*
509 920
!FEE AMOUNT
r=t'Yi"1ENT SUM?
*****1( *4( h'*3ih:3e
PAYMENT AMOiit-JT.
50.00
TOTAL „-1 _,.
ev'•1(.UNT A:`461.1 Ew;,t,. AMf)Iil`ll fiid:Eidf;
50..00 °]i?. Oi.).. .. - • a 00.
.50,00 00
1'ROCE:,:') BY: ,!UIJ:CEi ;i;I"(ATTO
PRINTED BY.: JUL]:E::- : HATTC°
IER STUB r4_ = I-TiT INFORMATION =;-]In ilA. 1"COUNTY .
ET:_z__:P,hlmFl t45::.13:44!
_ r
r�!rt.r",L:li_iR OR APPLICANT IS TCi FIELD I_:_if'r'ITE AND CfiNF]:F??'! THE.
_.c:.'tri,;.Cun AND r{.i,.:.Li.UJN OF : R ET tl!t TO ANY OTHER
EXCAVATION
TO LOCATE CABLE S,•
i" I".t. r,!. rl L-, WATER L.. 1. (Y E; .) r . p:. ..:. .
CALL :T.i.r t. "r.5.-0000)
i E'. bi1-I
)G re jf..ri.:i a6 yi:4
............ .....
9l'9f l: 'ltr 9f'R 9E .n..u.
TO BE C::!'{ii: i;ilE) PRY
3i...Ei:r Pt AidU11iN0BSTRUCI
L F+OE'r. INSPECTION PEI
'4 F1'111F'.. NOTICE CEi: F?I::'It_i456-3604
t!i!
Y
... O,
3e di�3i�3i�3i�3e'>':L THANK Nil '!
:E- MEC:TICiN" TO INSURE
IF - —DHFR MAIN
u.3i.X.3e.X-*-i.3r36 X-
U
******************0
3i