1992, 02-04 Permit: 92000075 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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
P t•=, t, j . t t:. l.: 1 NUMBER= 92000075 ISSUED PERMIT DATE= 02/04/92 PAGE= 0i
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PERMIT INFORMATION i++i .j,i .ji .}{..j,i .ji .},r :li. il..}+i 'i7 'P: 'Pi 'J4 '17i 'Pi Y: 'Ni ']t' 'l+r 'i7 'lt• �i+: '}li 'N: '}+i 9+i 3`i
SITE STREET= ,,,..,. .. :'t AVE PARCELO=27542-2355,
ADDRESS= SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION HILLCREST T (,' .•')
PLATO= 1 00224 PLAT NAME= E..t .E........ E., R E ,:s I ACRES 3RD AD]()
f"!E''':EA= 0000000 E'/A= t.. WID E E"f= DEPTH= t".:/:x.::::
OWNER- THOMASON, DON PHONE= 509 926 577..
STREET= i2505 E 21ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME- I..!t`%tt::.E.: CONSTRUCTION PHONE NUMBER= 509 48 30'i O
7:{.!.I.i...D.E.E''•;?.Y ,t•I:::•1BACIt•.S: FRONT= N,%r.: LEFT= E.t.a N/A R••r•-+::•.. N;'r';!
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SEWER PERMIT +i •;f: •1+::n.• •1?• 'Jt• Yr i+G •N} "i+r ';'} 91. 9+i .ii..i,r •i+r •1+i §+: 3i• 4+• ?+r X• T:.Ji..Ii..j,, si. i,..p. �i.
CONTRACTOR= }..iME:.t.: CONSTRUCTION PHONE= 509 448 s 30'i O
STREET= RT i BOX 88
ADDRESS= PAt•JfYLE:. t!:!A .yi }'1-..J-.' t
ITEM DESCRIPTION QUANTITY I•'E:.E::. AMOUNT
PROCESSING .EEfi&00
SEWER CONNECTION i 40.00
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PAYMENT SUMMARY
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PAYMENT DATE it:{I~i.1.. PAYMENT r':!Mi.. i;.,NT
02/04/92 699
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TOTAL !!t.)E::. .... .00 TOTAL { r`?{... ! r.:iIJ.J:::: 50.0'.)
PERMIT TYPE FEE
AMOUNT AMOUNT E'`A.l.D AMOUNT I::?WINit
-------- ------- ........................ — _......................
PROCESSED t ' .t~I: l iFtrROBIN
PRINTED
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