1991, 08-15 Permit: 91005056 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 OFAPPLICATI ¢ c
OWNER OR AGENT �� DATE CJ `1/ r 9�
PROJECT i # i4f_?."Et.:i';,;:_= 91005056 ISS1_j#::.D PERMIT 1L.i»I F".. 00/15/91 PAt:r#::=• t:)'#
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SITE : # i't#::.!... .._ 2505 S .1...I;S i„! { RD P,(•-i i•i i..,1::.I....?,._.. 28544-0024
ADDRESS= ,.o-pf_?K..?`u?:: WA 99206
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PERMIT UEE= EEWER CONNECTION
PLATO= 00 2392 PLAT NAME= SKYVIEW ACREE ADD
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AREA= 00011000 t' /A= , WIDTH= 76 DEPTH= 144 .:!W:...
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EfRECT= 2505 ' WILBUR RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= KARL CROFT P'.•?t_S N f:. NUMBER= .. .:? 928 2467
BUILDING SETBACKS : FRONT== N{F LEFT=-_ NA RIGHT= NA REAR= .•.}•a
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CONTRACTOR= ! :.;= ,,E CONSTRUCTION
STREET= RT„ 1 BOX 49A
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ORD WA 99036-0000 1
ITEM DEECRIPTION QUANTITY FEE AMOUNT
P{:;jOi:Y•• ;:EI NC; FEE 10,00
SEWER CONNECTION 4000
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08/15/91 5603 50,00 1
PERMIT TYPE 1"E'.C'. AMOUNT AMOUNT PAID .{•:?r'#O{...N 't OWING
E i;.i E:... PERMIT 3:r ..!:J i.. 50,00 ,00
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