1992, 06-18 Permit: 92004502 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, 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= 92004 50.r: ISSUED PERMIT
DATE= 06/18/92 PAGE:::: 01
.... r. :... 0 N .... .
li• it: �: Ji •bl It tt $i �tr yt: N: 'N:• •Yt: 'p:• •3t: '!L• it• �:• •f<:• Jt: 9{• P: P.• JL• !t Y+: •Yt:• 9+: 1^' �.. I''` I ..I. .. I� I" ..1 '4 I i �� ....:. '7i• -t•: •P.• •?: it -b: jt; 4t: P: •P: $: -F: iE •N: •�: 'F: 'b: •7R 'P: 3{• -bi 'A= N:.1,_ .p..A. �_..r}.
SITE STREET= 1714 : CLINTON ST j. AR%..,1::.L..ter':: 45271.1930
ADDRESS= SPOKANE
99216
PERMIT USE= SEWER CONNECTION .... WlOLi CRE.S i (92E-638)
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it ;(* l' 1:: E:. NOTE ]i -i•: •u•
P lAiro= 001841 F_"NAME= i P _LNi^rTERRACE _ : i rFC E
BLOCK= 1._ O T =�.O N i - i`I i:- w I ' i ...i. �; t .......
r.
OF r=LA. x = I :t,. DWELLINGS= "s WATER DIST _.:
OWNER= MOLL, JEWELL
STREET= 1714 CLINTON ST
ADDRESS= G•POKANE. Wf? 99216
PHONE= 509 924 .9190
R/W= 50
CONTACT NAME::: 1-1 & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING I\I..I S TAC:KS: FRONT= i T::: r / A LEFT= N/A RIGHT= N/A REAR= N/A
Ni*33k FN** F NRiR } * H lh*$Pt k $ * h * SEWER ::t I_x x **#( t { *[ * * { # i *{ k * i A *hk;beNiu
CONTRACTOR= 11 &EI!•c:'Nw T !'4?_ICT I. i:IN PHONE= 509 926 8964
STREET= 11817 1::. VFI1...L..EY1MA:( AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE '7 10.00
SEWER CONNECTION i 40.00
9: K R• P.• * •P: ii• i'-: 1t Jt.• * a: t• *t' * 3t: N: * 3i: fk *:,(.*.j+.• .}y: P: 7t }t:• 1t: 3t: I••' F 1 y m 1::. ! `! SU i1 i f•? 1"; 7 ***************************K
PAYMENT DATE RECEIPTt PAYMENT AMOUNT
06/18/92 4651 50.00
.T.t_IT•AL.. i?UE:::: .00 TOTAL PAID:::: 50.00
PERMIT. TYPE:. FE:E AMOUNT AMOUNT PAID AMOUNT OWING
SEWE:R PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED ED i:?Y : D,OMI:Tr. v c:i , ROBIN
PRINTED BY:E?Or'1I.TI?O`t?I.C.H, ROBIN
SEWER STUBAS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES E:?E:F'A1"°1f r T (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION i1!•• SEWER ' 1 UB PRIOR I.OR`. T•EJ ANY OTHER
rHEr
EXCAVATION j \�
TO LOCATE:: BI..1R1E::E? CABLES, GAS PIPING, WATER LINES, ECT.
CAi..i.. BEFORE YOU I::E=v (456-8000)
SEWER STUBS ARE TO BE:: CHECKED PRIOR TO CONNECTION i•C IN` UE E::
THAT THEY ARE 1.11 -AK AND t.JN.[1.i_•t:: T'R .ICTEU Tu THE .I::wick t"i%1Tt\
n• k• }i• * x• •A• h• * * CALL FOR i P[j .L N ,s F E.. �:• T• .I. I^1 I`t PRIOR . t.r COVER •A• •A• P: �I: N: �IC •P: •A: •P: Ji.
ii if• * i ii * 2 4 HOUR t I..)1"; t' 1 TI.CE REQUIRED ii ai aF * *'- ie ••n. ii *
U*ii**b*k456-3604 * 9 t ]RPai4
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