1991, 11-22 Permit: 91008034 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 comp 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 issuanc- . this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the. ! ons y 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 /7— 2 Z �?
OWNER OR AGENT DATE f
PROjECT NUMBER= 91003034
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ITEM DEECRIPTION
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PAYMENT n,f.Tr:
iuiAL DUE -
PERMIT TYPE
EEWER
PERMIT
3946
............................................
50,00 y'
............................................
50,00
PAYMENT AMOUNT
AMOUNT PAID AMOUNT OWING
50,00 ,00
AND `'.i ........ .
TNURF
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