1992, 02-28 Permit: 92000885 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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
PROJECT + My Fl.: 9200 85 I St,T•.. D PERMIT R=t- DA)I° k. . .
. L'k.+k
u'ue a;ii'ii'**—)@*r(* ;; PERMIT INFORMATION 9i'A'4ii df A-A'fG"kA'PiA-)l'2-➢rPr'k'iR"11'Pi* ]@.Vi ?r'A"9 if ?4"a}
S:["i't= STREET= BLAKE RD P'ARCEL.;==: 22541-916
�92,:.Vr,0 "
ADDRESS= :., 1'l,)rc PSNE.. Int hl
EWER CONNECTION •J: - BLAKE
rl:(> :.
I c •; )
NOTE
:l%t*
PLATO= 999999 PLAT NAME- RANGE
E
BLOCK= I. oT=:: %.CINE=. UR -3.5 DIS -1a=
AREA'- Fi':,:-: i= WIDTH= DEPTH=
:E: OF 11...D(r;z.'= i ,- DWELLINGS= 'i WATER DIST =::
OWNER= E:"ii"iA , BLAKE
STREET= 7:: s 14i._AKI::: i'0
ADDRESS= SPOKANE:. WA 99206
C.ONTACT NAME= ALWAYS ACTIVE
BU:I:i._DING SETBAC1<S: "FRONT::= N/A LEFT= N/A RIGHT:- N/A REAR=
PHONE=
HONE:. NUmBC
.)t..a..a.qf..a.**.n.*.a.n..ri'ii'*v'u'*di ra *.k.;i:.;i. sE:. i,:i F: (:' r':_F{M1 ('
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX "141562
ADDRESS= SPOKANE WA 992i
dt 0"k' )i')t'%rt 0* 0*'
ITEM DESCRIPTION
PROCESSING FEE.::
SEWER CONNECTION
PAYMENT DATE
02/20/92
TOTAL DLJE::::
PERMIT TYPE:
SEWER PERMIT
FROCF:..:r ET) BY
PRINTED BY
I</iil=-
50°
7:
Y'0.#'3,R'*ii:*9i )l3t')t'1lA'$')i. jlFP:Prier$i
PHONE= 09 922 :Ysoo
QUANTITY FrEF:: AMoUN1'
Y
(FENT SUMMARY
➢i Yl'4 3 YY FR':k
i0,00
,i). _t)
RECEIPT;{ PAYMENT AMO1)NT
1312 v.;0,00
(Ilf, TOTAL _ i -(-1D:." 50:00
FEE AMOUNT AMOUNT P1AID AMOUNT OWING
50.00 50.00 .6)6
50.00 - ' 00 :00
DIlri1TRO'V:LCH, ROBIN
DO't'iITRfit'.1C'1-1, ROBIN
SEWER T iJB r'),S-BUILT INFORMATION is: AVAILABLE AT IN COUNTY
UTILITIES DEPARTMENT (456--:604)
CONTRACTOR OR APPLICANT IS TO EI.E::I_7) LOCATE AND i_,'. N6'IRM THE
ELEVATION AND POSITION OF SEWER STi"iT1 i-R:[OI TO ANY OTHER
EXCAVATION
TO LOCA
CALL '
11p]:E1) CABLES, GAS P:IPINCG, WATER LINES, ELT
YOU DIG ( '>?.',-O000)
SEWIi::I'? STUBS ARE:: TO Ii
THAT THEY ARE. CLEAR
3'*1t'tt)(3'.p * C.A1_.L.. I"(JF{ .1
iE)iii6'h:'+,:§EpiiE 24 HOU
dSit)iu>:*)C i:}ik
r:'r vt rr x':r r: ot'n"r',r a'al.
il'i:;h:E::.i.) PRIOR TO C:I:)i-i'ECTION; i0 .F.NSLJFik:
I) UNOBSTRUCTED TO THE EWER I'IATN
Cr1:r7N PRIOR (i COVER .p...p...x..a.g..ri..y}'» *
,_..v..:. .. ........
REQUIRE h.""-. It it 4t itX%'it lt'Y. ')[
,-3604 iih }t $"P) PlA" A' a'
'7Eii #3i ae'b:' THANK YOU 'u