1992, 11-04 Permit: 92009508 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 orcance e provisions o y ate orlo9allawregulatingconstruction,orasawarrantyofconformancewiththeprovisionsofanystateorlocal
laws regulating construction
SIGNATURE OF , L� APPLICATION
OWNER OR AGENT / r S DATE i i— Li — 4.7 Z—
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SITE STREET= 2604 E 14TH A'a E F`ARi E:.F...y:c:: 45223. 4; 230
ADDRESS= SPOKANE WA 99206
PERMIT
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PLATO= 001345 PLAT NAME= JORGENS ADD
BLOCK= LOT=f
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AREA= F=/t.".1:::: 1.: WIDTH= 105 DEPTH= t ;" R/%= r
, OF BLDG : : : DWELLINGS= ' WATER DIS-
OWNER= „ : « .1 : STEVELiBONNIE ,-. ,:•,N F..
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STREET= 12604. E 14TH AVE
ADDRESS= SPOKANE WA 99206
CONTACTNAME= ?A ?R rF 1 OMST:cK
tFPHONE NUMBER= r
" j3 . 9374
BUILDFN ^ SETBACKS : FRONT= ,A LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= r ! O' . OCKCONSTRUCTION H
OiE= 5; " i 9374
STREET=
ADDRESS= . .. RADA?...?:» WA 99037
ITEM D » icFJY ' a ? y QUANTITY
1{ N ! 1t +..(•f: AMOUNT
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PROCESSING FEE Y. 10.00
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PAYMENT DATE REc »[PT„ PAYMENT
AYENT A;OIN,
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TOTAL t 1.11... DUE= TOTAL# At... PAID= 50.00
PERMIT t.. i 1fPE FEE AMOUNT AMOUNT N t 1•Pc:1 •D AMOUNT OWING
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SEWER PERMIT
50,00 50,00
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PROCESSED BY : WtENDEF..., GLOR?.A
PRINTED B't : BARRY H!.1,.ip'1._E.!EN
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i}•7Yit'il:N'R'R•?4-9?'M' '.'.-i{..:.'.•'%4'.'.'.•;!:§!:•A:.--it'iC'.'.•.'* THANK ANK '{+„U .'){fi:ik'i!:'iL'.:Nii4•ii'b.-2t•.•.'.'j{.'.'P:.:b:•.:.--N-.'-?•:.'N:-ik*i4i!•:11: