1991, 12-19 Permit: 91007704 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJE&T &U�001- 4,00=04 TATTI) PFRMTT DAT". i2/0/91 7411 ot
VERMTT jNFOPMATTON
54 i
E c«• ('T w 1 1j 21 1 F �:37 !I AVE i ARI�El I
ADDF,ESS4 'F0'.'f"NF WA ?92-'G�'
NOMIT USE- SEWER G,.)NNFCTD'.)iN U1_11) £203 ....449: .91 -92A)
icxn SEE NOTE ***
PLAT4= 00034 FIAT NAME= OFT:TQ. 1-354
RLOFIK� LOT- ZONE- AAR! DTSTO- f:
AREA=. F/s, p ATI)TY& 61 DEPTH- "A R W:::
4 OF BLDGS- 1: DMAS IMW=:: I WATFR MET ,
OWNS: '"fS NV , W-A—MM, f R 1; Alcm- 000 000 092A
STRE 1.51'•.'. PH AV!:
SPOKANE: WA 9920;.,
f,DNITACT NAME:= EXCAVATTPN F'HFINF NUMFSFR09 927 25
BUILTTNG NETRACTS. FRONT- N/A LEFT- NiA Rj%T- N/A BE"- MIA
SEWER FTRMlT
CONTj,QM`OP- COURCH(4�NE CQNSTRUC, f T FIN 5017 9,24
S,REE:!. = 612 E Vf)l..L..EYWA(
ADDRFE.'�:::: VERADALE WA
:T!:::il DF,,CRl:r'lTON QUAM T:['I Y FEE AMOUNT
. .... .... ... ... . . .. .. ... ................
PROCESET'.W, FEW y 0100
SEWER (AVINECTION i 40.00
PAYMEN SH"ARY
PAYMENT DAFT-_ R F F! E LI' I'M 1:1, N T
AMO t
12/19/91 'I569 06
TOTAT DUE- NN11. PAT0 JSrO
F17Rmll TYPE FEE AMOUNT AMOUNT PATI) AMOUNT (114ING
... .... .... .... ___ .. .... .... ... .... . . ... ................. .... .... .... 11 . .... .... .... - -.1.1 .. .... ..... .... ... . . . .... .... ...
iJ F R
PE: .`7I1 5 0 � 00 50. C.E All
.... .... ... .. . .... .... .... ....
5006 5%oo .00
PROrESSED M : DOMITROVIML R(SPIN
E:":<:I: NT E. 1) SY, DGMl7RI:)VlCH, ROBIN
SEW/ R ONAM AS-RHILI wFnRMAITcjrj rE AVATiAmi: .,,I yllir: ROHN"*Y
Ili TL:[Ii.ES DEPARTMENT (4!-.-.-36P:4)
F�ONTRACTOF: OR APPIL,TCAN-1 1:S 7 0 .:'IEE i_i _OCATr AND PrINF[Hri THF
ELEVATION AND ''OSITTON OF SEWER STUB PRIOR TO ANY C7HFR
::XcAVA7IDN
Al LOCATE BURIED i" ST 10F:!:F'.'f.N'y' rcy,
CALI TIEF"OkF' YOU Dr c' (wws
S'l-DWER STUB,',' ARE Ti BE CMECKED P'RIM 0) CGOFMA114 TO Twywr:
fH"'r THEY AR117 CLA��AR AN',' T.:I THE FEWEk M',:[N
Mx�Iw,*Kxxx CALL- FOR INATCTTON FR10F:!VFR 4(xAxxx*k*
01UP iv
:�60
4 604
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