1992, 10-23 Permit: 92009247 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
PRojECi NUmBER= ISSUED PERMIT DATE= 10/23/92 PAGE= 01
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SITE ETREET= 12023 E 24TH AVE PARC El_:4; „ 3011
ADDRESS= SPOKANE WA 99206
PERMIT USE= t;:it" CONNECTION .... T
PLATO= 999999 PLAT NAME= RANGE
LOT= ZONE= SFR DIST4=
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 140 R/W=
4 ,!.. BLDG., .... DWELLINGS= •I i,?.(:n . ..... . �+.�!...t.. ....
OWNER= UNKNOWN PHONE=
ETREET= 12623 E 24TH AVE
ADDREES= SPOKANE WA 99206
CONTACT NAME= TRIPLE S PHONE NUMBER= 509 927 0256
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
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CONTRACTOR=
t is .•. ._ .. .... 0256 STREET= '} BROADWAY AVE
ADDREES= SPOKANE WA 99206
I DESCRIPTION -.A :j . ... . •T• FEE AMOUNT
PROCEEEING FEE 10 . 00
i i i`•! ! e
0, 00
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DATE
................................................
TOTAL DUE= , 00 iuiAL PAID= 50 , 00
PERMIT TYPE AMOUNi AMOUNT PAID AMOUNT OWING
SEWER PERMii 50,00 50,00 , 00
50.00 50 ,00 . 00
PROCEEEED BY : DOMITROVICH , ROBIN
PRINTED BY : DOMITROVICH , ROBIN
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UTILITIES DEPARTMENT
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ELEVATION , POSITION:"
EXCAVATION
TO LOCATE BURIED CABLEE , GAS PIPING , WATER LINES , ECT „
CALL BEFORE YOU DIG (456-0000)
SEWER STUBS ARE
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TO
E CHECKED PRIOR TO CONNECIION TO INSURE
THAT THEY ARE CLEAR , Ai-b.!FP t
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