1992, 02-05 Permit: 92000619 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(50,9) 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 iss nce of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel thvisiDns 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 (14fAPPLICATION •r—y
OWNER OR AGE DATE L�
CONNECTION — MIDILOME 6TH ADD (92-65)
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wATER
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RHONE= 509 924 9406
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WA UNKNOWN
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02/05/92
MOUNT
50,00
............................................
50,00
PAYMENT AMOUNT
I ....... .
TOTAL PAID -
:::!MOUNT PAID AMOUNT OWING
50,00 ,00
—TON Tn
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