1991, 10-02 Permit: 91004158 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 APPLICATION
OWNER OR AGENT DATE
NUMBER=PROjECT
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REEE- EPOKANE WA 99212
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PLATO= 002396 PLAT NAME= ELOAN ' E ADD
LOT= 2 ZONE-
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OWNER- GREENETREET= 5714 ..j;...'•(..'•i„ WARREN
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15TH AVE
ADDREEE- EPOKANE WA 99212
CONTACT NAME- TLC PHONE NUMBER- 709 ''';'27 6760
BUILDIN6 SEiBACK::; : FRoNT- NA LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= ) LO l f
ETREET- 13816 E 12TH AVE
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E WA 99216
ITEM
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QUANTITY
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PROCEEEING .,
EEWER CONNECTION 40 „.
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0 7174 50 , 00
................................................
iUiAL DOE= :. 00 TOTAL PAID= 50. 00
PERMIT TYPE E r:!.!MOUNT AMOUNT PAID AMOUNT OWING
SEWER
50, 00 50 . 00 „ 00
PROCESSED BY : jULIE
PRINTED ... . . JULIE ... . .{i•• . i..
SEWER STUB AS-BUILT
INFORMATION f.. AT THE COUNTY
UTILITIES DEPARTMENT 56-3604 )
CONTRACTOR
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