1992, 11-30 Permit: 92010467 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
FHUJECi NUMBER= 92010467 TEEUED PERMIT DATE= 11 /30/92 RA0E.. 01
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EIREET= 11106 E 6TH AVE PARCELO= 45212 , 1 ';
ADDREEE= EPOKANE WA 99206
PLAT4= 001039 PLAT NAME= OPP , TR, 1 -354
BLOCK= LOT= ZONE= AGSUB DIET4=
AREA= F/A= F WIDTH-
OWNER= GLOGAVAL , OHRTEE PHONE= 509 920 3:;'31
ETREET= 11106 E 6TH AVE
ADDRESE= EPOKANE WA 99206
CONTACT NAME.. H S CONETRUCTION PHONE NUMBER:.. 509 926 0964
BUILDIN0 EETBACKE , FRONT= N/A LEFT= N/A RI0HT= NSA REAR- N/A
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UUNiPAUMR= H UUN:,: iHUUMUN PHONE= 509 926 964
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ITEM DEECRIPTION QUANTITY AmoUNi
PROCEING FEE 10, 00
EEWER CONNECTION 40 , 00
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PAYMENT DATE
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11 /30/92 50 , 00
................................................
TOTAL 1 AL. ii1,.E)^ = ,00 TOTAL ."•i":II1:::: 50 ,00
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EEWER PERMIT 50 , 00 50,00 . nn
PROCEEEED BY : DOMITROVIOH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
. .! .. .. -1 .. . i. 1. .. !! .) .. ):.:)i:!i.tj'')!•11..ji.:,'._}.'i.:j.:Ij.:. :1:.ji.:d• THANK YOU :)IIIi.:lj.::l: :!)::)+"+?' :+1;11::!?':!?':!+:'!?':'...!t:.}):1!::!+: ...... ..