1991, 04-30 Permit App: 91002064 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. 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
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 91002064
APPLICATION
DATE= 04/30/91 ,AGE- 01
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PENALTIES WILL BE ASSES..: .::t#WORK WITHOUT tPERMIT
SITE ETF I:. .. 121 N - st ,(;1E
06
PERMITt ;' i::' :::: CONNECJION-s :;;
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ATO= 00-1575 PLAT NAME= MCC
0 OF 11
AD
OWNER= SPR
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'INTACT NA L= LARRY
,.: U ... d:.f. N i:r FR � �? , __ NA LEFT= NA RIGHT= NA REAR= NA
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0 DWELLINGS=
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206
pAREEL4= -15544-2607
HOME
UR
ATER
PHONE= 509 467 2202
PHONE NUMBER= 509 466 2.1M.:i
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CON j t t .... ,.. ,.. Y ¢ 0 t,• L.
EM DESCRIPTION
......................
PERMIT. TYPE
......................................• ..............
SEWER PERMIT
ED IED (' NaE r
iii t::• ,:
E't
.T..1. is I'd
FEE AMOUNT
........ .... ..............................
50.00
QUANTITY
............•• .
•AMOUNT PAID
.00
.00
PHONE= 509 466 2i@O
FEE AMOUNT
40
AMOUNT OWING
-------------
50.00
.......................
50.00
50.00
ILI .,.t•IFOR#"#t•:;,ION :.:; AVAILABLE AT THE CO1..ii.J#•'.
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APP
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BURIr-
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AND
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PIPING, 'WATER '•....#.Nt::.:.:, ECT.
) PRIOR TO
REQU
#'t#•tS:.t.: ! a. t..t#•. TO TN::;,:URE
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