1992, 02-04 Permit: 91008472 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 OF APPLICATION
OWNER OR AGENT DATE
PROjECT NUMBER= 91008472 ISSUED PERMIT DATE= 02/04/92 PAGE— (:)1
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SITE STREET= 17,105 E 3TH AVE PARCEL-1H 22541 -1113
SPOKANE
:. 99216
PERMIT USE= SEWER CONNECTION — WOLFCREET (91S-126 )
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BLOCK- _OT= ZONE.. SFR DIST4-
4 OF BLDGE- 1 0 DWELLINGS= 1 WATER DIST =
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CONTACTADDRESS= SPOKANE WA 99216
RIGHT-BUILDING SETBACKS : FRONT- N/A LEFT= N/A
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CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 G500
STREET- PO BOX 141562
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PRuuEEsiN6 ::' 1 10 ,00
SEWER CONNECTION 40 ,00
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PAYMENT DATE RECEIETO PAYMENT AmOUNT
02/04/92 7.D0 50 , 00
................................................
TOTAL DUE= ,00 TOTAL PAID= 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
EEWEH 50,00 50, 00 , 00
50 ,00 50 , 00 ,00
PROCESSED B DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
'. l..lrl E!'•: "- i INFORMATION rd AVAILABLE AT THE ... .. .;*J ? .
UTILIIIES ,, 456-604 )
CONTRACTOR THE
OR APPLICANT TO IEFIELD LOCATE 4:#?':j i.! CONFIRM
ELEVATION AND POSITION OF SEWER _i Rii. lo ANY uiHER
EXCAVATION
TO
LOCATE
EEWER ETUBE ARE TO TIE CHECKED P;-:.TOR TO CONNECTION TO 'INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
KKKKKKKKK CALL FOR INEPECTION PRIOR TO COVER KKKKKKKKKK
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