1992, 07-06 Permit: 92004990 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 ..00°" 010APPLICATION
OWNER OR AGENT G - DATE
PR 0,.iECT NUMBER= '.;)2004990 ISSUED PERMIT DATE= 07/06/92. 2 ...E ..
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ADDRESS= SPOKANEWA 99216
PERMIT ... tat t..E.<ti CONNECTION
PLATO= PLAT NAME= RANGE
BLOCK= LOT== r'OE .. 5 DISTO=
AREA=
r { = ryr : : t !: F/(= 1
WIDTH= 25 DEPTH=
OWNER= !.,'e--:` S1 J•(• HARVEY t'{ f }:i• .. . ..... ' 206 4@S 9464
STREET= 14610n -128TH AVE
ADDRESS= KIRKLAND WA 9S034
I::L.Ii•Ji'`1{::. NUMBER= 206 402 . ...
BUILDING SETBACKS : FRONT= NA LEA .1 — NA RIGHT= NA REAR= NA
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CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10, 00
SEWER-CONNECTION 40, 00
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FATMENT DATE RECEIPTO PAYMENT AMOUNT
07/06/92 5122 50 ,00
................................................
TOTAL DUE= .00 iuiAL 50, 00
PERMIT TYPE AMuuNi AMOUNT PAID AMOUNT OWING
..._.. ...... ERMIT. _:0..00 50 00 .00
PkuCESSED .HM IF SHATTO
PRINTED BY : JULIE SHATTO
,.:{...ti:E i_.!'v ::. ! E,!B !"!:.i....._(;i;i:.1... E i,}'3 E"}1 t".M!"! E J.O .i.:.. AVAILABLE ..... COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO
::
RM THE
ELEVATION AND t: 1•" .. :.. .. ... ..i i''% !.1 I" ...,...�ti t::. ,..•{• i t.:...PRIOR�... , ... ANY OTHER
OCATE AND .
EXCAVATION
iu
Li!E.F•'t E F' BURIED CABLES, GAS PIPING , WATER LINES , ECT ,
CALL BEFORE E E t::::_
DIG
".1" E!.tE R siUBs (••i R E TO BE CHECKED ..!ti TO CONNECTION
INSURE
THAT THEY
t;E..... :. ;..,... SEWER
., INSPECTION
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