1991, 04-08 Permit App: 91001640 Sewer SPOKANE COUNTY DEPAR,M6IT 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
NUMBER=PROJECT +�
:. :, �-•_...,1"E�li�.i..�,l 4e t^F�s+.t�Yµ 'DA
****** THIS NOT"t' <•i PERMIT. :!,..- r i!{''Aj !i
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105 ) WC)i i.t)i !'4 Li N C - ........... 4... 8;2
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PERMIT USE= SEWER
:, :;,::: 002962 PLAT N( ; W F s PARK ADD
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AREA= s,-1;-i!,lj:?d•. ?J�
4 OF B i...:.?..,..= i 4 DWELLINGS= .1 WATER DIET
OWNER= }.ENDEE'S N - PHONE=
iSPOKANE
•!, 3 } 7, !i 7_1 j_t..!w;E F'r Y+:y;
CONTACT s,.,::-6 C NAME= BILL .... ,;_. �,l .tN SANITATION
at.t` I TAT .._.l PHONE NUMBER= 0 .. ...
BUILDING REAR=
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:'..,1•.)•.;2.:1.:•. H P.1•.1t:,1.P.!.F, R 1!.,..... ..A.. ..!t IS).It :' �::; ..;.
CONTRACTOR= :.}.l.E I! :.i i.i N SANITATION
PHONE= 926 47ei
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ET 1 ;... .ry
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. ADDRESS= SPOKANE WA 99212
ITEK- DESCRIPTION QUANTITY FEF AKCHNT
SEWER CONNECTION 1
PFP.MIT- ! :_ F!::.1:.. AMOUNT
AMOUNT AMOUNT
.
50,00 ,00
•..i?.i1...:1.k:.
SEWER STUB AS—BUILT .INFORMATION Ts AVAILABLE AT THE COUNTY
: } DEIEWMILNi
..
., v.rt,.., :..,,... ;:,! w w, t !.
,w• e
7 i!
TO i L!.? .A ! :. BURIED CABLES, GAS PIPING,
,.I.i i•NG 1 WATER L:.N!:..:4• , ECT ,
,v
CALL BEFORE YOU ! ' 7,f' ( 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR
CONNECTION TO INSURE
THAT , :..... CLEAR ,,at. �#a',rf:{ (';i::'-j�:rii:::l'�;' `?i �-1{:' :.i-?:,i�� •;' MAIN
,. . *8.•tn FOR i ;l i 7 �11.kt{ U PRIOR O7t. 7 ti COVER ***4f;******
GALL PP -
::..a 1... .. 24HOUR i`! i 1`If. 1.. rv-.I...t 4•`• '.114*******.j
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