1991, 06-11 Permit: 91002161 Sewer 4e ,o,
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
1
PROJECT,..#:.#_• ± 1'l.i.11'Ir~•L..±, 91002161 S: i± PERMIT Dc='{T06/11 /91 Ai't'
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STREET= k+•:7.1 ',.J.1 1., 9TH—AVE PARCEL4= 20744
1ADDREEE=
PERMIT :;EWE.. CONNECTION ....
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PLAT4= _002704 PLAT NAME= UNIVERSITY PLACE
AREA= 00000000 1-/A- F WIDTH= DEPTH=
I CONTACT NAME= LEONARD PHONE NUMER= 709 926 R9,:sf.,
i +.r' . 7.1±.,..a, k:4,i:.,±.,?7:•!?.!...!. ??:7?M X,±.v::±..:-J±,•Ji?_±j;•±: SEWER PERMIT F.:.1 ! ;?•P: 1. ,. .. ,. . .. ..k:*•Ji! .. ....
' CONTRACTOR= H & E CONSTRUCTION PHONE:- 509 926 f.39 6 4
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ADDRESS= SPOKANE WA 99206 - •
DESCRIPTION
QUANTITY r.:1
..t AMOUNT
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TOTAL ::
1 PERMIT TYPE i-LI..:. AmOONi AMOUNT PAID AMOUNT OWING
1 SEWER PERMIT 50 ,00
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CONTRACTOR OR APPLICANT IS TO 7TELD ! flfT '--.7-- AND CONFIRm THE
EXCAVATION
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