1992, 01-30 Permit: 92000507 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 •- _ ovisions 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 30 -7C
OWNER OR AGENT �_' DATE
—017
PROJECT NUMBER= 920005 07 f .L::: UE D PERMIT I DATE= '•1 / 30//`: 2 PAGE= 01
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SITE . ;L . 12112 = 38TH AVE PARCEL.a . 33541 -9004
ADDPi::.:`.y` :::: SPOKANE WA 99206
PERMIT '1.,••,. SEWER CONNECTION .... t t1 ` ` €..)t•, ,". •t (92S-51 )
PLATO= t:1°:?�:>:i.;:6 PLAT NAME= r'!..A?..?.....!P' ::. 6TH f••t:?D
AREA= 000 0{14'1!'1+.'i :' i{:1-:: i.. WIDTH= i•S-i DEPTH= i30,'.'1 , !Iii:::: 50
0 OF ' 1xt ...1 . a t :: WATER
nv _" vr. v
.... MODEL
t�.x€';. M ( INC
i„);h!?iii::.I�:,_:::: i::. i''vt..: ,.:,..?€..!iv.;::.::: ..;•.: . `•a�-'�•�
STREET:- 12212 E SIOUX CIR
ADDRESS= SPOKANE::. WA 99206
CONTACT , ?"E. FRANK : OIvPHONE • t • f . .= 509 %i 9406
BUILDING SETBACKS :BACK•. FRONT= NA 1...E1-; ::.. Nr•` RICH 1•::_ NA REAR t'•aA
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CONTRACTOR= UNKNOWN P_`HO ;
ETREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
r. ? t::.t•'! i? :.:.'..€..:t'':.I.P ? .1.t t N QUANTITY €••t...E AMOUNT
PRO
SING
SEWER CONNECTION€..I 40 .00
_
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PAYMENT DATE E-_.Et.:1::. .t € E; PAYMENT AMOUNT
01 /30/92 603 50.00
................................................
TOTAL DUt ' .00 TOTAL AL.. .:A: ')::: 50, 00
PERMIT TYPE ?..7:.E::. AMOUNT AMOUNT t f..AIi1 AMOUNT OWING
SEWER PERMIT 50,00 50,00 , 00
50 ,00 50.00 ,00
PROCESSED BY : JULIE S E..I A.,...!_i_;
PRINTED B Y : ..)t.i E...1.r:. €"€f 1 ? ? €..i
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