1991, 10-02 Permit: 91004392 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= 910046'..Yz IEEUED PERMIT DATE- 10/02/91 PAF:,F-
pERmiT i j NPERMIT UEE-
ADDREEE- EPOKANE WA 99206
SEWER v
PLAT4= 001 '393 PLAT NAME- KuKumu
.
OWNER= HALL
l...?..E ... 05 AVE
ADDREEE SPOKANE WA 99206
CONTACT NAME= LEONARD PHONE NUMBE - n07
BUILDING EETBACK : FRONT- NA NA Rif.7,HT= NA REAP=. NA
ADDREEE EPOKANE WA 99206
Lm
PROCESSING
EEWER CONNECTION
40 ,00
.. .... .. .... ..
PAYMENT DATE RErFTPT,!!: PAYMENT AMOUNT
50 , 00
................................................
TOTAL ?e
PERMIT TYPE AmmiNT AMOUNT PAID AMOUNT OWT. G
EEWER PERMIT 50 , 00 50 , 00
50,00 50 ,00 , 00
PROCESEED BY :
PRINTED BY : jUL1E EHATTO
—BUILT
INFORMATION
EXCAVATION
TO LOCATE BURIED CABLES, GAE PIPING , WATER I. INFS , FflT,
CALL BEFORE YOU DIG ;:.456—8000)
THAT THEY ARE CLEAR ftf-m'psTRiinTrn TO THE EEWER MATN
CALL FOR INEPECTION PRIOR TO COVFR
24 HOUR