1991, 10-02 Permit: 91003887 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
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ADDRESS- SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH KOKOMO
BLOCK= LOT= ZONE- AOSUB DIETI=
AREA- 00000000 F/A- F WIDTH= DEPTH-
WATER
OWNER.. ROWLEY PHONE-
STREET= 11320 E 31ST AVE
ADDRESS= SPOKANE WA 99206
, : 11'•7 i F•i i 1 NAME- 1 I:" I}i{7 t PHONE NUMBER-
MITinTNF, .;. i i.: .i j•:I T ... LEFT. NA ....G i'- ... NA REAR=
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!. t•. t}.t+.:., t., ;., 11,:t ? !F !. .j''}:'?S::}...y...�;.Vii.:, :}j.:.j.:!j':}!:'S!::Sl: gEWER pERmTTVALLEYWAY AVE
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ADDRESS- SPOKANE WA 99206
TTEM
DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
P:•:-. :L :!. -. !}.,!. t.. .-. :-. ...SL r!.,!.r!.:!.P.:t R. di'P:•:ilr RAIMENT ... .... .. .::•t I•;`y .. .. ........ r. ........ .. .... .. .. .. .. .. r. .. ,.,. .. ...... ..
PAYMENT DATE RECEIPT4 PAYMLN ! AMOUNT
10/02/91 7147 50 , 00
................................................
TOTAL DUE,, , 00 IWAL 50 , 00
a'
i PL "-EL ?tom' AMOUNT PAID
SLWER FERMIi 50 ,00 50,00 ,00
50 ,00 50 ,00 , 00
PROCESSED BY :
UUNIHUIUHPRINTED BY : JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
i i - e"i N D OONFIRM THE
ELEVATION AND POSITION OF SEWER „Ir PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING, WATER LINES , FCT ,
:i .456-0000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
.5... : ARE CLEAR i'. :.}is
, UNOBSTRUCTED i..i SEWER MAIN
INSPECTION
.... ...."!r ar iii•;tl; !; HOUR.... ... ... ... ..4
... .............................................................:.. :.:!.:1.:,i..,....n:.ii.:!.:i..,,..,,..E.a,. THANK