1991, 03-28 Permit: 91000509 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 provisionsof any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT _ DATE
,NUMBER-
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PERMIT.. 7.:�.. !:. ,{ . .. ?.:..... 1. 1. 1. J. 9..•... J. }{ .. ?! Y. 1. INFORMATION
SITE STREET= 10907 E 24TH AVF.�� PARCELO= 28542-361---','
ADDRESS= SPOKANE
,
A 99206
PERMIT M.?. ? U::s!::.= SEWER CONNECTION .... NORTH i<: ? i?: E EME E
BLOCK= .. ;?= 'r€..?f•?�: t•�E%a:`;.%iis tl H.....
AREA= 00000000` h. / i:. = f.: WIDTH=' '? {'?i.! .t./?•�. i',� i'i: ... .. 1:..' WJ.?
0 OFf:E +)t:r:S.... 1 0 DWELLINGS= i i4+A? R DIST
OWNER= MANFRED, GERALD A PHONE--:
STREET= 10907 E 24TH.AVI_-�
ADDRESS= SPOKANE WA 99206
BUILDING SETBACKS: t••RE,jNT= NA LEFT= f?ti RIGHT= ':iA REAR= '';A
q}..}}..p..?;, .}:: •!{ 9:: '?}: '!t '??: ;t •!c •?h 7C •Y: •18 .?}..k...+: •11i •1?i 9k 1{• F: iC i 1?i i'• R
SEWER PERMIT
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CONTRACTOR=
'.x :., CONSTRUCTION PHONE= ':i:l'-! 926 9964
STREET- ., E t:! '? i I::. to T ?...::. ,f ,:, F•} i AW".'.
t•'.
ADDRESS= SPOKANE WA 99206
ITEM i:: M ..= :.,..�?...RIi:::.( .1.?„�N QUANTITY
FEF AMOUNT
............................................-------------- ............................ —-------------
PROCESSING
................................----
PRt.,tt !,1„1G FEE 0
CONNECTIONSEWER
PAYMENT
.:A;? l?EN SUMMARY
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PAYMENT DATE RECEIPT:!4, PAYMENT AMOUNT
03/28/9i 1622 50.00
.................... ............................
TOTAL DUE:::: 00 TOTAL PAID=
�ERMIT TYPE FEE AMOUNT AMOUE`N EAMOUNT ? }� ••f € �.
s7
................................ ....................... ................................................... — ------------ ----------------
SEWER
...........................................----.
------------- ------------ ----------------
5
..........-........-------.----
PROCESSED BY: jULIE SHATT(�*i
PRINTED BY: jULIE SHATT()
SEWER
:.[,..E STUB UB A,:;—}.iUI?. i INFORMATION IS AVAILABLE AT
HE COUNTY
T.t.
UTILITIES
Itt??:: E,f_, (456-3604) r,! 1ERi
CONTRACTOR OR APPLICANT IS TO
,.. t: r•"•: E E, E E P - N DPOSITION 01::'SEWER ..;iii PRIOR LOCATE i i O ANY
. T ..
TO LOCATE BUR !.EDi..i=? LI::.:S• GAS PIPING, WATER `t .R L..I��� :: i::..-....€...
CALL BEFORRENOU
G (450SOOO)
:::r.:.!x+?::.!•;; STUBS ?,.`?:j•. .. t: TO .'.::. t.:H?.:.€..;'`.ED PRIOR TO CONNECTION TO
THAT THEY i?.E ;..LEA?2 AND i,.Ni,;BS?RUt.,(?:D TO THE SEWER MATH
CALL.-.:'. }?. }:...:!+; •)+: jt• ; i INSPECTION P
i:"4t+? N "i_: TO COVER ";lj
.7k
, 14OUR .
.).. 9{..)�..i}. ,}?; .i{..}{..){...{• : ' ••. , , 1 ? t E :, N € t . } ;....: REQUIRED
456-3604
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THANK
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