1992, 06-11 Permit App: 92004235 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= 92004235
:9r•;
APPLICATION DATE- ;.j,,,; '� PAGE- 01
PENALTIEE WILL BE ASSESSED FUN N f::: Q i`'i ?•"! i::: r' f ..?. N t..9 WORK WITHOUT A PERMIT
SITE ::. .:ti ..i. 1 i' `� `''
? i'tii::.L:.T '�� ? DAVIS i,'I? FARM. .,..... 45271„3101
ADDRESS- SPOKANE i. FA 99216
PERMIT USE= :.f- ihi •• r< CONNECTION t.; , uN .... idi i i S'i• (92E-604
-ji- : a?• SEE NOTE ti+: -}i• -r:
a,.
PLATT,— 003186 PLAT Nt?!"1E::::: SWANS(' is ra,: SUB
BLOCK= 1 LOT= i s ! 1''e t:.::::EFR •-j : < :.,.....
AREA- 00000 000 j••/ A:::: i:. TDE::i::'•i•i..i::::
OF BLDGE= 0 DWELLINGS= ..
OWNER= EL,,,NER, PAUL
ADDRESS= SPOKANE , ini r='t 9 216
r:
!.; !. F i'-. �•? C: •T' NAME= ALWAYS ACTIVE PHONE NUMBER= .:, �:? `•r' P`:�i :�...... k:'s'::'::'t t3
A:t i..! _. ... !.j A. 1J (x SETBACKS: T• !'t r"i t...: i+. FRO i:t t 'T = P'' i ,` f�'? LEFT= �.1 T = t J i 1 RIGHT= G..r i"i T :::: j i % i=! REAR= l i :::: ?`'•'
i : ,
;,:.j{• i,..N..j(. -Pi ;u} -j,; .L.. •L} ;u} -Yr •i,; 'N: i+r i1• ier •Pi fi: -h'r -Pr * -:n 3+i * E: w , - :.............:. .j+i -i+r -Nr -!1• -i+r i+: * * •Pr },; il• .. i+r -Ar -p? .i,.......... .
CONTRACTOR= ALWAYS r'S AC ?IVi::. 8500
STREET= PO BOX 141562
ADDREES= SPOKANE WA 99214
• .... 922
ITEM DESCRIPTION i QUAN t.^ti.INT
t•' R 1_t t_: E:. C.:Y .i. t i t•" F E:. E:. { r.0...00
:EWEREEWER CONNECTION i 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
..s,::.ki
SEWERSEWERPERMIT :. t:ita AO 50,00
50,00 , 00 50,00
E::T) BY: DOM:L•`rRo%:LCH : ROBIN) BY: DOM1:TEtO'v.l:C:H ROBIN
EWER STUB B A --BU:i:i....1 INFORMATION IS AVAILABLE 3T THE COUNTY
UTILITIES DE::E'AI;'P PEEN i (456-3604)
CONTRACTOR (:OEC° APPLICANT IS TO FIELD i...fif'A TE AND CONFIRM THE
FiFVATION AND POSITION OF SEWER '•l`1I PRIOR TO ANY OTHER
EXCAVATION
PRO—is
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL LL B:-l..ORf::. YOU t(.t D.L G (456-8000)
SEWER STUBS toRE:: TO BE:: CHECKED PRIOR TO CONNECTION ..if:t Ii''1,`.i'?.iEiL::
THAT ? t HE`Y' ARE CLEAR AND UNOBSTRUCTED i t i THE:: SEWER MAIN* * i4• .p• -Pi 3+i * •H• * CALL E' (.J R INSPECTION PRIOR TO COVER tiF til• iR• •Pr =Pi -Ni }t- ti+: iR• P.•
tit. ti;.:s. tip- }i * h: ti;. ti{- 24 HOUR t J (t • T• :LCE REQUIRED *.p.:,k * ii * !} ii• of i+:
* -hr : : j4 * tip: •b; * 456-3604 -P:P:.j...ti,..r.j,..it•H•'1,:ik
KPJ}tiptiii) t ij1k YiJti k l tiPtifi N11tiIti t iTHANK
iwJkY — i:titl*: *!nttat:.+t.• tNt »iw } » r a• 4: a• : t }
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