1991, 08-14 Permit: 91005015 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 4., c,+
OWNER OR GENT /la-`_ l,Ar n _ APPLICATIONI?'",
DATE l
' { It: NUmBER= 9100%015 IESUED PERDATE= 08/14/91 9r-t P'• # _ 1
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SiiE STREET= 11405 E 27TH AVE PARCELO= 20543-3310
ADDRESS=S?RE... :_ .. ,v Y•j..:...i:NE WA 99206
PERMIT USE— SEWER CONNECTIONSOUTH f ?. ?vii,-t
,.:, !::: ; _...... 001393 PLAT t.a }-{.::ME.., i<iii<,!i 4ii TOWN,::
:. LOT= ---
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{"•±1:� 00000000!:•3 i'• =•-i:. •a,WIDTH= E`y±::F DEPTH=H= •j ..".'0 I-'..•I;;=
0 OF
):.j; 33j,Y,`,:.:: ; ;. t-t?;ds::.?...?....I.?'d`t:r::::::: ; WATER_::.i:. .2.1I,,; ?
OWNER=,. ANDERSON PHONE=
E=
STREET= 11405 E 27TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT
{•:::•v,, .. .' Nt•M?::-= STAN ANDERTON i IN ONE NUMBER= 509 J' 4594
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA i`•:?::.{.aj•:,?:::: NA
:1 } Y: ti ! ! rii = } : :) * ::: .* . .* SEWER : : :I . ; : :; 9 : : :3 P7A : k ;i } } } : 1 ..?!...3,...t..., i : .*
CONTRACTOR= F, PLUS CONSTRUCTION t.:,..;..it'}1':.••- 509 922 4594
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STREET= j..'t_j ;i:j:t. 't 4 i ...-...: ,
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCE
SING
E i0,00
SEWER:.:CONNECTION i.ON • ±??:.!:}+.
:. P.H.P.3+.3t A 1+.!•.P.J4 ?k 3k A H'k'P:71'a'-!+i 9!1:+i ai'r!'Pi iii'!±i i!t}•jt}•jt}•j¢ R(.;t ?•`??::.I*•y ? :.:•t.i:";C!.A R`F ":i!i•7+:*:++!:i'-'i t•a;'j+;K*')+i•}!i +i•Nr 3' ±:*i!!i-Pi;7'.'ti;t''.'F 1+i i±C 1+i 1{'
08/14/91 5636 .:%+,:t.:00
F+3
................................................
PERMIT TYPE FEE t•• ;:.:;"ii....:N . AMOUNT a I?1 AMOUNT _iWI `fi,.
SEWER PERMIT 50,00 50,00.!if, .. ,0
50.00 50,00 ,00
PRINTED O-j. • i•ni"•.i`:Y ........ .
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