1992, 05-01 Permit: 92002990 SewerSPOKANE 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 the provisions of anfir local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF -�� APPLICATION C. /� qL
OWNER OR AGENT DATE .7
PROJECT NUMBER= 92002990 ISSUED PERMIT
DATE= 05/0i/92 PAGE= 01
. M .. T ........... .
ti,• j;• ji,• }!; 3t 3!' 3r )�: 3i )l• 3i• 3t �+h 1?• �?• 9t• 1 i!• N• r• ib ie ik i+: b• i�• iF 3t• {=' {:: {'s E"i :{: ! f. #''� {" .. i t"# r•3 ! .#...! j�v ii ae N• �1t• i::�:u::tE �+i- i{- ai �r •r,• yr •r, •r.• :�r �r i�?- �i- :w ar it * ?-::u.• u• it
SITE STREET= 3012. S T:<0Wtl.i: H RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= c' .'} + CONNECTION .... SOUTH !<•. O !4 O #"i O (92E-419)
28543-4920
PLAT:A: •=
BLOCK=
AREA-:
OF t;#I.,.+1(YE=
.49
PLAT NAME= K C #t OMO TOWNS1 + E
ZONE= DIET4=
F ,A_.. r WIDTH= 88 I 'r'T •{ i 'i i Ftp/{A{=
DWELLINGS= •i WATER DIST ....
OWNER= BUR(;jisET, ROBERT E PHONE= 509 '' .'. '. :„:>0W:r
STREET= 3012 S rrtaizTiDISH RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME R.:. r:.., E iiRCEzii I t• T PHONE NUMBER= 509 922 5005
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGH{
T= N/A REAR=
* 3i• 'it• 3l• 71. 11..2• •A: •ik . . * N: •7+:..n• •. 3t * P:• •.... P: •J+: 31' .. * ...n: SEWER r '' ::. ':: •ii• 'P: 'hi * : 3(• 3!. 3{• 31 fii . ri •;1: •i}: •N: •P:.. * * * .. .. * .... * i.
CONTRACTOR= OWNER {='Fd#':#{•vF::=
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
QUANTITY EE AMOUNT
7` 1tai,00
40,00
3(• 3t• •X !< 3i •i,:• 3t• 3i• 3i 3{• 3t :. 3{ 3i }t' * * *• * * :P.• :N: * M• H * 9(* * * #-' i •T s'i I::. N T SUMMARY + r e tu}*uaNx Na}f *; i)u;:i.3r r
PAYMENT DATE REt`•r._ w P # O PAYMENT AMOUNT
#
05/01/92 319e' 50.,00
TOTAL t AL.. iiUE::: :00 TOTAL PAID= 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT
50.00 50.00
50.00 50.00
Pt•St.!#.:BY: A OMT'TRi VICH, ROBIN
PRINTED BY: jCiEl1:T•F:; it; 1:C:{..{, ROBIN
.00
. 00
SEWER STUB EB AS iUI TINFORMATION { ! AVAILABLE :# THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRAC;TOR'. OR APPLICANT 1:S TO !' 1 EL.D i...+..!!.:
ELEVATION a rPOSITION "F SEWER ; w
#.; {•_; .#.
EXCAVATION
AND C:j••Fi:i•i'i THE
TO ita. i ••Hr
TO LOCATE 1i 1rICABLES, : A PIPING, i:TEiLINES, ECT:
CA{...L. BEFORE YOU DIG (456-8000)
SEWER Tii1i< AR: _{.(.i BE CHECKED PRIOR TO THE CONNECTION +'ft INSURE
THAT . T ,•_ CLEAR UNOBSTRUCTED i l.!
INSPECTION SEWER
- n " 3 1 1
.){adikh3(}F{FOR rF1rrT� COVER *iia+5r}u
s
* 3t• 3r 3r st• :w• tr •r•. !,. r.... 3 HOUR NOTICE REQUIRED . t ..:. a. x- :: * t. 3;• it
1t r. 3r * •hG rt * x 456-3604 +t• +!• v: r: ::,. n:) 3r +t
... ... ............... ... THANK N,:
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