1992, 11-23 Permit: 92010333 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PP':t.?:.!Et.: ? NUMBER= 92010333 03: :'} .?. } '•UEf.% PERMIT! Dfg ? ?::.= 11 /23/92... .-2 t.:i.:,i.CI:: ::.. i;,
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SITE i REE T= 12821 E: T H AVE 1 i,R i i.-:;}:= 45273 ,0215
D -j R{:: :,': .. ' -I K i#I... -'- 99216
PERMIT USE= SEWER CONNECTION ION —,: 2:::-..I :?
E''E. ft I ..... 00123 PLAT i1:i..j, `R ; ar r•Y!. P�'!.. -:-;': D :;;;
0 OF t 4 DWELLINGS= r WATER DIET
,•ttr;?'4t::.E'?:::: EE.-AT T_:.R : ? t::.?'iE::.SP•T :'?"?ONi::-= :::>R:?`:r 924
>'TE I:::%::'E-::.. 12821 E: 25TH AVE
SPOKANE
99216
CONTACT AC'T NAME:: TRIPLE ' PHONE ?`•'t.•=";1:?•.::.?:;::::
BUILDING , r:. isf•`•'si.:K,`; : FRONT= NA I NA RIGHT= NA ::t'Y P.. NH
a i~'r.* !E it i{ii Y it it 3h)+it it it iE?!M?r rr»aE ik it , .,•
SEWER'.'� "'I:. �t"I.?. t !k it it ik it.i:.9`)is .ji.
CONTRACTOR= TRIPLE e ,. CONTRACTING PHONE= 509 927 8256
I t+'.I_I i-::.. 11322 I". BROADWAY AVE
ADDRESE= SPOKANE WA
99206
I t ?::.t"t DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10,00
SEWERCONNECTION ? 4.0 , :0
i,.;'k•!t•it•i+:it iL•i L-ik b•*}k i?•l+i'P.•9+:P:ik is•Jh 14•$:i!•*Ar•Pi 3r*N•$+'r${ RAyMENT y t,_i?`'t(tet(y=•,:.i *9+i i+i:+i+$++i t?•i+:.j;.ik:;,;j+r;,i:,,::1,};+: +:ii•?+i*di-•ik**fi: {-i'+:*
PAYMENT DATE REt.:E.I.I I 'x: PAYMENT AMOUNT
, 2 3.'92 578A 50,00
TOTAL I AL. D}UE= .00 TOTAL t A1.. I'f•d.?.?,;= 50 ,00
PERMIT TYP... i:.Ek:. AMOUNT AMOUNT PAID AMO...N . OWING
E-.iji:„:.Ft'....PERMIT
50.00 50,00 .00
50.00 50,00 ,00
PROCESSED BY : FORRY, JEFF
PRINTED BY : FURRY, JEFF
**********************K********* "THANK Y t.?..j ********************************K