1992, 02-07 Permit: 92000694 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 7 �+
OWNER OR AGENT /f,OffA / . -21 DATE — -
11205 E 29TH AVE PARCEL4=
ADDRESS= SPOKANE WA 99206
BLOCK= 42
-AREA= WiDiH=
siREEi = 11205 AVE
ADDRESS= SPOKANE WA 99206
cUNiAUI NAME= NLKi.UH !...:0Nii.WU.LEUN PHONE NUMBER= 50? 437 1041
BUILDING SETBACKS ; FRONT= N/A LEFT,, N/A RIGHT= NSA REAR= NSA
CONTRACTOR= it{ ir,; .. ,
STREET= 770S N STANDARD RD
::-7Priii:ANF WA
.1" QUANTITY FHE AmuoNT
PROCEESING FEE 10 , 00
SEWER CONNECTION 40 ,. 00
02/07/92 79 50 ,00
TFIrr. Mir= , 00 TOTAL. PAID=
PERMIT TYPE FEE AMOUNT AmuUNi RAiD AMOHNT OWING
RERMii 50 , 00 50 , 00
50 ,. 00 50 , 00
PROCEESED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB AS-BUILT
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