1991, 10-02 Permit: 91005317 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 a;.,%M;•i'-,...... 910053.17 T' "i iE F% PERMIT rir-:a i is = 10/02/91 PAGE= !%1
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PARCEL4= 28543-4416
ADDREEE= EPOKANE WA 99206
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CONTACT ,,.r-.?r•;E:::: }...E.:.•..I.JA;•';;1509
PHONE:. •..Ij�i::fi::.::':::: t:..... 8964BUILDING SETBACKS : FRONT= NA LEFT= 1,'•?t'i RIGHT= N r= REAR= NA
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STREET= 11817 E VALLEYWAY AVE
ADDREEE= EPOKANE WA 99206
ITEM DEECRIPTION QUANTITY i.!..i.. AMOUNT
E-R C.!' z ` r.E.N t-r Y'E.E::. "er 10,00
EEWER CONNECTION 40.00
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PAYMENT i t DATE . .E... i.. .t.. i ,,. PAYMENT AMOUNT
TOTAL E At },tUE::.:::: ,00 TOTAL E AL E.:A.E.;_fi= 50,00
PERMIT TYPE CEAMOUNT! JAMOUNT PAID AMOUNT OWiJi
SEWER PERMIT 90 . 00 90 . 00 .00
r:,0,00 50,00 t.
PROCESSED JULIE SHATTO
PRINTED BY : JULIE NA , . .•.
SEWER STUB AE—BUILT
INFORMATION AVAILABLE(--?yiE i•• '{ I THE COUNTY
UTILITIEE DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT Il.:ANE i:.: I i-. FIELD E: E i,i :A I E AND CONFIRM THE
ELEVATION f t::t Y' POSITION t"i t:. SEWER ' }..,..,...!.•,_..,.{.i;_+. TO ANY OTHER
EXCAVATION
TOLOCATE" h BURIEDi .- CABLES, x?? PIPING, ! = . .. LINES, . ` T .
ALL
BEFORE YOU D I i. (456-8000)
SEWER STUBS A :1- i i BECHECKED PRIOR CONNECTION ! i,3 1`:%:.:t.!E'S:E...
E" 1
THAT E Y ARE CLEAR I •J!,% UNOBSTRUCTED !I'•1!- SEWER i 1' `'%r-:! t''?
*K******* CALL -FOR .I.f-1. •i:: i.t;r:! PRIOR
i i.;' ..I. "COVER 11 , 11.11 i s'%!i%y:1!'1si fis:
?'i$k iti r;. t')!;-jj.;n::• 24 HOUR NOTICE REQUIRED j:•i4•it?')t'%4'•%Fi*iti•J;'i!!i
: jit p ;IPj456-3604 :! :1i. : : i
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