1992, 11-24 Permit: 92010401 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that 1 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 prov' ions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the iss e of this permit/applic and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the • ,ons of any state or l w regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OFOWNER OR GENT APPLICATION`% DATE V7-02
PROjECT NUMBER= 92010401 ISSUED i='4:::i;ii1:-;
DATE= 11/24/92 Pr G@:.= 01
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PERMIT U Ei:= SEWER 1•. OOK :, r., ,ti —1109
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fl. OF BLDGE= :. DWFiiINGE= WATER DIST
CONT
BUILD :i:
OWNER= (.Y(3 I.)G1::.1... , l..YA1.L
STREET= ''i•±'i '.`.> ;i COLLINE ND
ADDRESS= SPOKANE Ll( -i 9924'1
PHONE= 509 9261 4 E388
1:..E. NAME= ROD Gl..1IiGE:.L.. E'H(.)I'•!E:.SETBACKS: FRONT= NA LEFT= NA RIGHT= NA
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1 :fE:-E.:: :: i 9 4080
NA
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CONTRACTOR= OWNER
R
ITEM DESCRIPTION
PROCESSING i' EE:.
SEWER CONNECTION
Gtt.lf i's!'F 1: i•'i E:1:::i::: MOUNT
Y ( )t)
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40.00
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PAYMENT ):D F; T 1-: R ii:: (:; lii::% f'-' •T O
11/24/92 ...66
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TOTAL DUE= .00 TOTAL PAID=
±. ::::
PERMIT TYPE:: FEE r"Ti't()E.. NT' AMOUNT PAID AMOUNT OWING
SEWER PERM I 50.00 50.00
50.:''0 50,00 .00
PAYMENT AMOUNT
50.00
50.00
i::: (:1(:;1:::.:; SED I? T1 —'• BARRY R i'11--1 S E - I... (:1 E:: i?
TED BY: BARRY HUSFLOEN
.. . .
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