1991, 12-18 Permit: 91008431 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
,..sT NUMBER:::: 910 E343 I IEEUED PERMIT :::t. = 01
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ADDRESS= SPOKANE r`.r`i±`iE Wr 99206
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PERMIT 1. SEWER CONNECT:CONNECTION .... NORTH :t _ii'•. MO (91 —E120)
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PLATt= 001393 . ..•.,::#T NAME= jK.O K i.:{i`'1: ?-[OWN: .±. ?
BLOCK= LOT= n.. ZONE=l{'�f::.r.. rY tx,\{,,;t i g}.?.: ? ::r.. I
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AREA=r:!::. ?.l t.)f')!;)?;;?J?:)?•) 'f'Y.... F WIDTH= DEPTH=!'t= :;,'{n!-• 0
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'ii' !..T? :..�?...... ... ? 'i!' A: .............. .. :•.. , WATER DIET ....
OWNER= PETERS , GREGORY PHONE=
STREET= 10811 E 24TH AVE
A DRE,`•.'`:;= SPOKANE WA 99206
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CONTACT NAME= _e CONSTRUCTION PHONE NUMBER== 'r?:' s 927 6760
BUILDING: •. ,.. , ,. ...;"•K;' FRONT=». ,;, ... A REAR=
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CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= .13816 E 12TH AVE
ADDRESE= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY AMOUNT
PROCESSING FFF '•Y' 10.00
*;.,;-. P.;?}!P.)..,t.P.P.1? J4 1•.t?N.J?P..?.?,?..*.f,,.jj..lk G')Y:n:'!i''±±: PAYMENT SUMMARY 7±:'P:it'it:±:'P:')±:'i}:'i!'Try:'P:'J±:'P:8?''J?'':`'P::'±:'P:g±:';±:'P:')$')±::?E,±:'J±:
PAYMENT DATE 1•'t:i::..?.?' { O PAYMENT AMOUi t
;2/18/9i 9533 50,00 -
TOTAL ±•Y?.. .. ..
PERMIT TYPE I LE .±??t.!(,t{q { AMOUNT i' .'`i I... ;Mt.?UN-. OWING
W...R ..•F::. .I 50.00 50.00 . 00
. .. ..
50.00 5i t 0tC) .00
PROCESSED BY : ??t«t{''i t ; €{1_FN ; :3••; . ROBIN
PRINTED ,•,
BY :'f .,.?._;!1._ i E•t.!..?i`l...:?^i, ROBIN
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CONTRACTOR 1;�= APPLICANT
.. IE ? t.! FIELD LOCATE A{'*1%7 CONFIRM € .{..
ELEVATION A N?^) POSITION OF ;':.A.1„1{«R STUB PRIOR TO i A N OTHER
TO
LOCATE
r••::,:T "t:•i t r::, CABLES, GAS PIPING, WATER LINES,
!
CALL i��"{"t.?!":i::. YOU !?.?.DIG ( 456-3000)
lL`r 6.. 3 pj0(;j}
Wrz _ :S ARE O BE CHECKED "? i , i TO CONNECTION ?.N::;.l_?'ti?::.
THAT Ti ? " f 'CCLEAR fJ D UNOBSTRUCTED T t EWr
ti MAIN
; 1 *s ¢; ; : j456-3604
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! * : : :: ?: ?! L: . i ) : : h: ) : : *: *1 iE t9THANK Y4 : ******* ******** K***************