1992, 06-08 Permit: 92004113 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 any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER- 92004113
APPLICATION
DATE= 06/08/92 PAGE- 01
)! R' * *:u )t T } 'i .i. t. N t..: F !'3 i . t•:. R ?"? .. ? i?' -S?• 3L• 9k )r )i.•
PENALTIES WILL ii::. ASSESSED _ii": ...UMi`'iE t =,r s WORK WITHOUT Et PERMIT
SITE STREET= 1616 S CLINTON sT
ADDRESS- ',.. SPOKANE v1 i:, i1. 992 ...
PARCELO= 45271„1903
PERMIT i = SEWER CONNECTION -,??" 1t iS (92S-575PLAT4= - -: j }a'PLAT NAME-
" L
: ?: : E�-1+ ! T ?";d?:
BLOCK=
AREA= k) }?rii•'f: 00 r:. = 'WIDTH=DEPTH==
OF v. _ » :•: DWELL •r , ,GS- i WATER )
ST
OWNER= htRf, ROGERPHONE= 5?9 :: L 1003 ?:3
CLINTONSTREET- 1616 S
ADDRESS= ,SPOKANE WA 99216
CONTACT NAME- : C _1EXCAVATION PHONE NUMBER- _ t r....
BUILDING SETBACKS: {•• ?•'; t.? ?'•+: T .._ •a ,'` iF3 LEFT= N ! E•:t RIGHT= N/A , {• 3 L.::::
?Pa{t)(9py A*J: R tNuN}n * i Ni *tSEWER "iti M}T )* *. A 3 * ....... ).... h * * . . i
CONTRACTOR= C?.?Ui•L'.i.:HfZ.l.Nis CONSTRUCTION
T'(1EE::1•-. 16402 E b'13_.i._i::.Ti t✓i'fj
ADDRESS- st'ERA_!(3!...F, WA 99037
ITEM EM DE:Sc ,..I•'T.i.•_.i: QUANTITY r• r AMOUNT
10,00
40.00}
FEE AMOUNT AMOUNT PAID AMOUNT OWING;
r::
5r•• 0 r.
., 00 .:die_) _ 0 .00
50.00 .00
PHONE= 509 924 54e5
PROCESSING FEE
SEWER W tai r 'l'Jl: CT:fON
PERMITT7`FE
SEWER PERMIT
By `l{f''
{:f ; ! i
• D(
SEWER T_
UTILITIES
H, ?•'t t,t ?:S .F. N
.:;—BUILT INFORMATION Ir, AVAILABLE AT THE COUNTY
'THEN (456-3604)
CONTRACTOR OR A F:: !... ,.. ? : !• t ! T .?. S TO ? : .?. E L...?/ ? .. ?:) i.::.:tit::. f t t . , ? CONFIRM THE E
� { #::_ "; TOR 3 ! ;v, ANY , { :�,
ELEVATION 1114E ? !" ?..}: � � .'s, ? .L t.i a iii != 4 = �,+!:. %'; ::: s , ,.,? '. OTHER EXCAVATION
TO LOCATE E BURIED CABLES, GAS PIPING, ING, WtA ? ::.R L. .NE 4 , ECT,
,.. i
CALL ?a!`.: t..!?'L: E::. YOU DIG (456-8000)
}EWER Ai•{E TO BE CH
THAT ! F , Fu.. ! :IRE CLEAR A{4?,!
*K******* i: (•'t i... 111 i INEPT
:..:..:..:..:,..::.::.: •• 24
PRIOR ..T i j ; i d t`+? I :. i_: .L o i
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4'.........".................................................:'` i}.}?: THANK 'T i i t t ............:$33. )Fi lF.• 9E )k •!: )}: )'.' )'i 1?' :!:. W )(. )j. .y. _}w .,,:.j _. .;:. i}?: 7p )L. 14;i