1991, 08-13 Permit App: 91004952 Sewer SPOKANE 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 APPLICATION
OWNER OR AGENT DATE
pROjECT NHmBrP,, 9.10c.:)497 APPLICATION DATE= 0 /13/9.1 PAGE= 01
roc*.;},a:}.r i±j: THISNOT,i t, *'*"P:;b *
,
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
................................................................................................................................................................................................................................................................................................................
SITE STREET= 2814 RAYMOND
SPOKANE WA 99206
i. i..i.;moi. i . CONNECTION
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SOUTH
PLATO= 000376 PLAT NAmE— CHESTER
BLOCK= LOT= 11 ZONE= AGRI DIET1=
r..
DWELLINGS=
OWNER= LAWSON . LELAND PHONE=
STREET= 2814 S . RAYMOND CIR
BUILDING SETBACKS : FRONT= NA LL1- i = RIGHT= NA REAR= NA
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STREET=CONTRACTOR= COURCHATNE CONSTRUCTION PHONE= 509 924 548!:.:.1
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
.' :: :.I - 10,00
-
SEWER CONNECTION
40 ,00
PERMIT FEE AMOUNT
SEWER PERMIT 50 , 00 , 00 50 ,00
50,00 ,00 50, 00
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