1992, 06-05 Permit: 92003294 Sewer dommommimmi
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE I
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
•
PROJECT NUMBER= 92003294 , : ,; SiPERMIT
DATE= 06/05/92 rG i
01
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SITE STREET=
ADDRESS=SS= Si"OKANE WA 99 fl :"..
PERMIT F'.'#.: t ;..R CONNECTION .... ixiiii i••C:`•:ET (92E-463)
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OWNER=R :: Wi :.LS ;N PHONE=
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TLC PHONE E NUMBER:: 509 927. 6,760
BUILDING SETBACKS ::Kh•tt.:?•„SFRONT= . .
A RIGHT= NA REAR= NA
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CONTRACTOR= ._. CONSTRUCTION
PHONE=
509 927 6760
STREET= 13j.1Py i•:• 12TH A V E
ADDRESS= SPOKANE i.4A 99216
ITEM DESCRIPTION i U :i :'i:; AMOUNT
PROCESSING i'E E r 10.00
SEWER
CONNECT:1C:•;, .` 40 ,00
17 i>t:1s:1{:1si 1st-}Ir'P:•ilr•/tr ili-)k*9 •!h$li•H:••1!i•flr-pi'u:"tr•k--Ni si a• 7 7k•Fti Ij:)k #.:fel i#"#i::.?gid ? ._M?i A?",( '3j:•P:•Pi F+i iur•Pi-}t-}ti•7k*-}li 1st A::u:•7s:•lk:n:iL'9t 9h-/+:i4.1k-fG.}k•A:•p:'!*
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/05/92. 2 42x70 50 .00
TOTAL .. .00 TOTAL
. . ' 1; 50.00
SEWERPERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PERMIT
,.. ! i..•; 5ii ;i0 50.00 . 0i;
is 50.00 00
PROCESSED BY : jULIE :MATTO
PRINTED B . : I1L' i.?. . RO•1•]. ...`..i , ROBIN
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