1992, 11-25 Permit: 92010424 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 13031BROADWAY 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 wi . ing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with s. :f .ions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of thi :-r.•• ation and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisi.• of- or local law egulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OFAPPLICATION /
OWNER OR AGE :i-��i i / DATE // 5PZ
PRaiFflT 1`!1 M B I::.t°•:::: 92010424 ISSUED PERMIT DATE=. E . ....5 . 2 . . .G#_' ..
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SITE ETREET- 12906 E 25TH AVE PARCEL4;:= 45273 , 0304
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PERMIT !:.:••.... .,-:r•ull..,.,: CONNECTION t'1.#.L..#..CREET (92E-1190)
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PHONE== ... .. . 929 0669
ETREET= 12806 I .
25TH AVE
CONTACTADDREEE- EPOKANE WA 99216
NAME= KATHERINE OETBY PHONE NUMBER- 509 928 0669
BUILDING :`;#... . !' i.:1.,.. : FRONT- N A U# t I :... NA RIGHT- NA REAR= i..:
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uuNiRAclOR= TRIPLE E CONTRACTING PHONE- 509 927 8256
STREET= 11322 E BROADWAY AVE
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ITEM EM i:i•' 1... .i•i.: I .#.ON QUANTITY F::.I... AMOUNT
UN I
PROCEEEING FEE 10, 00
EEWER CONNECTION 40 , 00
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ii /25/92 50 ,00
TOTAL ?;t.iI:: ,00 TOTAL PAID= 50 ,00
E::..R,.,. : , i 'i P#::. s i::.t::. ='•:1MUi.. v I AMOUNT PAID AMOUNT OWING
EEWER PERMIT 50.00 ,00
50, 00 50,00
PROCESSED BY :
PRINTED BY : JULIE SHATTO
EEWER _ETUB . AE—BUILT INFORMATION IE AVAILABLE
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LI1TEE DEPARTMENT ( 456-3604 )
CONTRACTOR 7 t' OkJ ...I .
.t'• :1�r L.'L.. :i^I .#., (::i
ELEVATION AND POSITION ''.t'�EJ,t`.....• 13 1:f , 1-++#`."Y i,'y•
EXCAVATION
SEWERTO LOCATE BURIED CABLES , GAE PIPING , WATER LINEE , ECT ,
CALL BEFORE YOU DIG (.. 456—S000)
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THAT 1 a... :. ARE CLEAR AND ' MAIN
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'221, ... ... ... .. ... ... ..456-3604
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