1991, 10-08 Permit App: 91006647 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit/application, state that the Information contained In it and submitted by area, my agentW compile sold permit/application Is true
and correct, and authorize Spokane County to proceed with processing. In addition. l have read and understand the INSPECTION REOUIREMENTS/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 understand that the Issuance of iM1ls permit/appllcshort 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 lock l law regu lati ng 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
I°'Iin.JFCT NHk'iTIFR'= 9iO36;147 AF'F'I... ICAT:EON DAII - t0;'0Oi4i ii AG F::_ 01
**—x—*** 'IH I:.S TS NOT A P'Ei: F:NIT+.*.*heA
PE.NAL.T [ES WILL CIE A.S.SESSEP FOR COMMENCING WORK W:ETHOUT A FFRiiT1'
_.... .... ...... .... .... .... ...... .... .... .... .... . __......_- .... .. ............- __.__...... ..... .___ -.....
SITE S'TF(iE iiL7= i31 :20 E 10111 AVE
ADDI4E:SE::= SPOKANE WA 49316
PARCEL x'-= 22544.."i i 0 4
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BU:EL..D:ENG SF T1iACKE: FREINT-= NA LEFT= NA
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ADCs RF:.SS:::: EIPOKANE- WA 9920A
PHONE N11011F:R=:: x5f19 926 r A4
BIGHT== NA RFAR:x NA
176: P, DE:.SCE2I:PTION nI.1(i 1: I
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F'I ICr SS) Nul Er::E Y
SE:: WIER CONNEECTTON i
PE:.RHIT TYPE:: FEE: AHOUNT AHOUNT PAID
.... ._. __.. .. .. ..__..... _.__. _.....-. ... _. _._
EWER PIRHII 1.00 .Cxa
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1`10.00 1O)
PROCESSED B : .IUI_ TF- EFIATTO
PRINIED DY'. .ILIL 11. SHATTO
PHONE-:::: 5019 9E26 8964
E E E ord Ol1NT
A i). 013
ANnWNI r1Wl. NG
SEWER STUB AS —BUTLA :I:NF'ORHAI'ION 1:S AVAIL -ABLE AT THE: CCl(iidl'Y
111-II..ITTE:S Dlii ARTHIN'T 1456--36014)
CONTRACTOR OR AFTTICANT IS 1'0 FIELD LOC:ATF AND (.r11VF'1RH iHF.
ELI:EVAT 1ON AND POS:ET[ON OF SEWER STUD PRIOR TO ANY O'i'HE:I4
EXCA'VAT I: ON
TO LOCA1 E: BURIED CACq...[S; GAS Pl RING, WATER ITINE. EEC1.
CAI...i_ BEFORE YOU DIG (456--0000)
SEWER S1LIu,S ARE' TO BE CHE:CKF.I) PRIOR In CONNECTION If IN_IIRF'
THAT THEY ARE (::LEAI% AND UNOBETRI-Ic IE::D TO THIP.. .SEWER tiA:EN
x***xxx*-*- ,JAI I... FOR 1.NSPECTION PRTrif. In COV'E:IR ***x**-
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******** ''4 HOUR NOT11C.17 frE:RIJIRED x*********
456- -3;,/04 *:�***-*..a.**-*-*
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