1991, 10-02 Permit: 91004242 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= 9100424 pFpmiT DATE= 10/02/9 RAr:7,F
SITE 11407 E 20TH AVE PARCFLO= 29542-2414
ADDREgE= EPOKANE WA 99206
AREA- 00000000 J!-) - Riw-
OWNER= WILSON
ADDREES- SPOKANE WA 99206
CONTACT NAME= LEONARD PHONE NUMBER., 509 926 96.4
BUILDING EETBACKE : FRONT NA LEFT= NA RIGHT= NA REAR= NA
.,:..:,..v:. .n.......:..:.. .:...:...:...:...:...!..:l.:3..ij.: :,j.:!j. :!j. :}j.
it
.115'17 F VALLEYWA'( AVE
ADDRFEE= EPOKANE WA 99206
ITEM DESCRIPTION
PROCEEEING FEE 10 , 00
EEWER CONNECTION
PAYMENT DATE RECETPT4 PAYMENT AMOUNT
10/02/91 70 , n
................................................
TOTAL DUE= „00 TOTAL
PERM T T'.(PE AMUUNI AMOIR-JT PAID AMOUNT OWING
is i 1
, 00 50 ,0050, 00 50 ,00 , 00
PROCESSED BY : jULIE EHATTO
,
POSITIONCONTRACTOR OR APPLICANT IS TO LOCATE AND CONFIRm T!.4F
ELEVATION AND OF SEWER ;:.TUB PRIOR TO ANY OTHER
FXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES , ECT ,
CALL BEFORE YOU DIG ( 456-O000)
EEWER ETUBE ARE TO BE CHECKED PRIOR TO CONNECTION To TNiiR:::"
CALL ..i_i i•i