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1992, 06-08 Permit: 92004109 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= ER'- :1:: i:rt?41is>! APPLICATION DATE-, 06/08/92 :yt• ft• )t• * 9t• n• THIS NOT PERMIT * 3y. 3(. 3t. * 3:. PENALTIES Wj.#.i...t... BE ASSESSED !•• :iR COMMENCING c Wt..!R;;, WITHOUT r•! PERMIT ------------------- SITE STREET= 1 i # 5 S BURNS RD 3?'•:?-.�? # k 9 r. _x •, 62.1.!3.7':::.,;,`x:::: ::.#':f•d._?#'?#...#::. WA! PARCEL!4... : PERMIT USE= SEWER CONNECTION ,ti.CR (92,3-573) 1'.....,i::.!::. #'•? 1.} # #::. * * : 'TO= 001, -.) PLAT NAME= JANSON ADD. OWER:::: BAKER, :: 0 PHONE— S s'i"i?: NE:.S BURNS RD (-1 _ ) 7 t'•. 1::. ... -• 7` i~:. #''.`, t D f I... I:'. xE (? 99037 D0NTAC:: NAME= 1 i... i:: CONSTRUCTION PHONE NUMBER= 50 927 6760 rs!t1.#...7.1.#'?lx '''ETBAC i'•:;> E#:::: .? !- (.t:#'2 #°:.#.lxl'1;:::: N/A l': -EAR= 3 ,!! **********K****************** .� ....�.. e i y.!.... ....... ... .. r, , R !.._!.:.R •t• -r• .. ... ... !: !: -': •}t.• P: 7t 9: 3t: •} � •Ri •': 3i 4: •lk •P: •lY •P: •lk !ti 3k •1G 9yi •H• •1!• 3yi'h: 'it }ti 3}i s E:. tF} i::. ii i' �.. # : # e. t 'R 'Pi -P• R• 9L 3k hi •}k •!k ?-�: 3S• 3yi •Pi •A: •Pi •Pr 3i 3yi i{ P:' 3G 3yi N• iy?• .ni iy': iy: i�? 3t• i': !I, STREET= `i '3 8 1 ,"? ;:. »? _1. i •i F` -i \!'` I::. ITEM EM T)E:.:`.?i_:i:1.P tION PROCESSING FEE SEWER CONNECTION • PERMIT TYPE SEWER PERMIT50.00 FEE AMOUNT 50.00 Pit01 1::.;:'• :'•L l :t :r DO;i.I. t i";l.)'t,:E1..: 1"I . tNTEjBY:(.} I I e t l.1 0 7# :'i , i'.i.iY.{ TN PHONE= y0y9 927 676:. QUANTITY F E :. AMOUNT • . ---------- 40,00 AMOUNT PAID AMOUNT OWING ------------ .00 50.00 .00 50.00 ,.x k UB AS—BUILT INFORMATION N S 2''nA.#.LABL.::. AT THE COUNTY UTIL1:IES DEPARTMENT (456-3604) :, CONTRACTOR ORftl"y APPLICANT .. O , TO FIR ._S1 E L #::. a f.:! # .#. t } 3'J 6•? #~N D POE ,':• .#. # 1.} #''N I^ SEWER I::. ! . :TU} AND CONFIRM THE TO LOCATE LOCATE.BURIED CABLES, rlS PIPING, 1x762 # #::.1': LINES, ECT, .:A#_.._ BEFORE 1..#';#::. Yr DIG (456-8000) SEWER STUBS ARE:. TO BE CHECKED PRIOR THAT THEY Ai';E CLEAR ANeiT? UNOBSTRUCTED ,>,t:•P:*x**3i•u 1.:(?I...t.. FOR INSPECTION PRIOR TO 3i 3;. 3t 3t 3l * 3t' 3t - 4 HOUR NOTICE REQUIRED lt k *R9tP9456-3604 cONNE:CT.i.ON I c.? i.!`•i,':URE COVER Pi3t'R•3t:•)t•3r3i'P•3ka: * : 3y. •A: •'t+• 3{ 3s: . 3k . 3(''?t 3i.• * 3x 3R. * . 3!• 3E 3c 3e 3r 3r 3E •p ) . * * 3i• * * * 3;. 3,: 3,. * * . 3{ 3 3i THANK 0 , : *****K***************************