1991, 05-15 Permit 91000855 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
9
Icertify that Ihave examined this Permit/application, state that the informatonncontained s� and submitted by me or my agent tocompile said permit/application istrue
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 give authority toviolatectioor cancel. heprovlionsofahis Pystateorplica locallon and ?awregulatingbonst ucton,orasawarrantyofconformancewithth
inspectionuent pprantyofconformancewitcthePro Provisions
ofnot be
anyst neon d to
cal
laws regulating construction. eprovisionsofanystateorlocal
SIGNATURE OF
OWNER OR AGENT APPLICATION
DATE
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IIhEt INFORMATION .............
STREET-- f.Y:rrri9TH ...
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PERMIT WE IWR CONNECTION
SEE NOTE
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ADDRESS= SPOKANE WA 99206
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:4i:...E R PERMIT
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NE WA 99214
ITEM DESCRIPTION
PROCESSING FEE Y
SEWER CONNECTION
........................
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• , ... , SUMMARY
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PAYMENT DATE ,.. ... r.: ,....: fi .x.
PAYMENT AMOUNT
50. R 1,ri
PERMIT TYPE FEE AMOUNT
AMOUNT FF t
..--_.AMOUNTOWING
--------------
WOO WOO
PROCESSED BY: ,.t1..?i...:EE:: ,`.ii•-►ATTO
PRINTED BY: ,.iIit.IE:: SE'IATTi::i
SEWER STUB A;:,'....T.tl.t.l:L T :isNF(:?Ri`'iAT:l.f:iN IS !?'drit:l:i...ABi...!':•:: AT THE f"fii.,Ij'JTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR.. �.: R APPLICANT
IS �± O FIELD LOCATE AND 'M THEELEVATION AND D POSITION i. F SEWER STUB PRIOR TOANY OTHER
EXCAVATION
TO LOCATE BURIED CABLEL GAS PIPING, WATER LINES, ECT...
CALL BEFORE YOU DIG (456-8000)
S?::.WE:.R ETUDE r'RE:: ,O BE:: CHECKED PI";a:t.R TO i:.E:ll`NE::CT.I:ON TO
NSURTHAT THEY ARE t:I._EAI=' AND UNOBSTRUCTED T[:� THE �;Ei,;;;. M�+I��i
},; :J;..ji..p.:)i.:J i;• ii CALL t" O ' r:= E C T . • ,. .
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456-3604
1+r th N: i++: 3?..},: !`• )i' )t- .P. �i..j•,'.:1i. j,:.}i. jl..j,. �i..ji..jr• •it r !:: 'ni •Ai i..ji..,;.:1i..j,, ti. �i. THANK '[ � I t, f 71� ti• i,:.:1;..j(..,i- : t t ,' 1' Ji i t i j
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