1991, 10-02 Permit: 91005001 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
PROjECT NUMBER= 71005001 ISSUED PERMIT DATE- 10/02/91 PAGE- 0
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PERMIT UETiE STREET= 10912 E 20TH AVE
ADDRESS= SPOKANE WA 99206
SE= CONNECTION .... NORTH f•i
, 001 '193 PLAT NAME- : j i i 1..
i
AREA,, 00000000 F/A= F WIDTH= DEPTH-
4 OF BLDGS= ,:i1 WATER DIST -
OWNER= PHILLIPS, HERBERT
STREET= 10912 E 20TH AVE
ADDRESE,, SPOKANE WA 99206
CONTACT NAME= LEONARD — H
BUILDINC, SETBACKS : FRONT= NA LEFT= NA RTOHT= NA REAR= NA
CONTRAcToR=
STREET= 11C17 E VALLEYWAY
AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
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PROCESSING i" i10 , 00
SEWER CONNECTION
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DATE
10/02./9.1 7209 50 , 00
PERMIT TYPE ELL AmuuNC AMOUNT PAID AMOUNT OWTO
SEWER PERMIT 50 „ 70 , 00 , 00
:!
PROCESSED
ii
PRTNTED BY . 1:
,
SEWER STUB AS—BUILT ' i AVAILABLE i
UTILITIES DEPARTMENT ( 456—'3604 )
CONTRACTOR OR APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE
:.. ....:. ....E ..
D i
CALI BEFORE YOU DIG (456-0000 )
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
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