1991, 10-02 Permit: 91003759 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
PROJECT NUMBER= 91003759 ISEUED PERMIT DATE= 10/02/91 PAGE= 01
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• STREET=
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ADDRESE= EPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — EOUTH KOKOMO
PLATO=e•. .. ._ _..... PLAT NAME= CHESTER HILLE ADD.
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BLOCK= LOT=
5 ZONE= AGRI DIET4=
AREA= 00000000 F/A= F WIDTH=
DEPTH=130
OWNER= HONODEL,
1
PHONE= 509 922 7539
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ADDRESS= EPOKANE WA 99216
CONTACT NAME= STAN t:?i'>J i::. - f '` PHONE
BUILDING ,.i!... ...rr I. FRONT= C:(.k LEFT= F':I f.:t RIGHT= 1':t t..'i I,•`•» NAY'09 :•:`'
:i: % % % % % % % iy• j : • % % i % % % j : ij: : : : SEWER "
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'N ; TCL , ; it,.,= A FLUE
CONETRUCTION PHONE= 509 922 4594
TRE:.. , t:: PO BOX i.
ADDRESS= SPOKANE WA
t .'..: 2
ITEM DFS:flRIPTTIIN QUANTITY FEE AMOUNT
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40,00
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%C.,JI:,It:/j•*•`I:%Fr K%i::.lir.!j..'Pr.iR.:j1. .}t:-p:%1:H s:%ir:v:•}t:.i?.:p:..1::SF,,jt.
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PAYMENT ...,: F t::. RECEIPTO PAYMENT AMOUNT
10/02/91 7235 50. 00
TOTAL I Al... t;U...= ,00 TOTAL 1 t• 1,_ PA.LD:::: 50,00
PERMIT TYPE.... L•1.:.!::. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 5,00 50.,00 00
50,00 50,00 (0
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PRINTED BY : jULIE EHATTO
,'-I::.l':1F...1. ::• II.,., AE—BUILT
INFORMATION
- :F: RM: . .
I . AVAILABLE AT f L -
COUNTY
U
' Y! I; I _IeeDEPARTMENT (456-3604)
CONTRACTOR
i„1t`•- I PtiAS i. i..: 4 O I': APPLICANT trFIELD
� ISTUB _ i ' E { j ; CONFIRM
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THE
FIFVF !\ AND POSITION OF `VI ' PRIOR 2 , " _ lL2 ",
TO LOCATE EXCAV
TION
.r-BURIED
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Y ', DIG 7�•F ECT,
CAL
CABLES,
BEFORE_: L. F {..i,i 2:�, (S" 7, '.'i.i,rii.i)
SEWER STUBE ARE TO_ BE CHECKED
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_ .!::.! '1•;:7 I II !7 CONNECTION ^2:,I INSURE
t,•.'��.
THAT.:; THEY g:i l'.E CLEAR t-'r.R 1,1 4 3,f UNOBSTRUCTED �.i._I _`..I t:r SEWER MAIN
,-.,.,-. ,l!k CALL i..l..!!'; INEPECTION PRIOR TO
456-3604
,:.v HOUR tt,: j',Ij^i ! I.nI.- REQUIRED
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