1992, 02-28 Permit: 92000882 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to comps le 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
PROJECT NUMBER=: 92000082
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SITE
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OWNER=
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ADDRESS=
ISSUED PERMIT DATE= 02/20/92 PAGE= 01
PERMIT:-.:
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i' ARCEL..:;:= 72544'-'28
SEWER CONNECTION ... WOLFCRE..i'f (.92S-102)
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1015 ,C' BLAKE: Rt,)
SPOKANE WA 9921
002945 F:I__F_t..r i.4 MEf:=
1000 LOT::=
00000000 F/A=
DWELLINGS=
VAN GEi:LDER
1 0 1 `i S TLA
SPOKANE WA
CONTACT NAtIIE=:: ALWAYS ACT1'VE.
BUILDING SETBACKS: 1 Rf1NT:::: N/A
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PHONE=
R/W= 50
PHONE NUMBER= :.: v;:(.`,.' 85l:o
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LEFT= N/A P; is(.H I:.:. IV; rl v::r,:,.r::: Icy,:,:,
SEWER PERMIT
ITEM DESCRIPTION
PROCESSING FEE
!Ft'ER CONNECTION
'h' ii'W. A' iu ii il' IS K* ii"**********.A
FOMENT DATE
02/28/92
TOTAL DUE==
PERMIT TYPE:: F
SEWER PERMIT
I:,I::;o(::ES: Eri
PRINTED
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QUANTITY
PAYMENT S:Lii"tNAI
RE.CET F'T11:
13)2
00 TOTAL_
PHONE= 509 922 ..:51:00
FEE AMOUNT
10„00
40.0.0
!i' i'. P)'1Pi'P: '1'i'1i' il. i')'.) 3'' ii' ....)i....hi ii i': 3....:l'i')P')':'Pi
F'A' lEN i ;MOUNT
, 00
PA.F.i_)._. 50,00
EE AMOUNT AMOUNT PAID AMOUNT OWING
50,00
50,00
BY: D(M1:TROVa:(:F1, FRI:,I:+:i.N
1:{Y. t.f11'11.T1'it.)V.LCI"I, ROBIN
STUB AS...._BUJ]:l.._..1 INFORMATION
ER�.N
'HIES DEPARTMENT (456-3604)
;,e)0 00
,cat:)
ES AVAILABLE
._3( TRACTOR OR APPLICANT IS TO FIELD L_0c::
STUB PR
ELEVATION AND 1-f1:i.E. f.E i1 hJ OF SEWER S..' •':- U)_ .
EXCAVATION
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AT THE COUNT Y
TE: AND CONE IR;
F' 1_O ANY
ATE_BURIED CA LEE, GAS PIPING, WATER LINES,
iSE Drill YOU f)i:1, (156-9000)
STUBS LUBiS AF.'E '1 O
THEY ARE C:L,i
ii" X iG iikir CALL I..
it ii.
• CHECKED PRIOR
t11i:u UN0)3 S 1 RLiC:'rE'i
-2.TI.nw PRIOR
NOTICE r F:r:ii..;Tiv1-36041
9. it yr
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TO CONNECTION Oi'f T t:) :.d
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