1992, 02-04 Permit: 91008490 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 l 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= 91000490 ISSUED PERMIT
DATE= 02/04/92 PAGE== 01
ii..H..*****ii ii ii********k*****iF*** PERMIT INFORMATION iar3nir.r.xre
uEe33
SITE:: STREET= 2304 s FAWN DR
ADDRESS= SPOKANE WA 99206
F: if;:C'EL..O_:: 29541..-1614
PERMIT USE=: SEWER CONNECTION (DISHMAN MICA) 91--S130
xai-x SISE NOTE: 1*10*
PLATO=: 000379 PLAT NAME:::: CHESTER TERRACE: 3RD ADD.
BLOCK= r' LOT= 14 ZONE= SFR DINTO:.
AREA-=: 00000000 I'=/A= F WIDTH= DEPTH=
OF B DGS== i _,-..
4DWELLINGS= WATER Ir..Pi A,a.,yr _::
OWNER= SHAMBLI.N E'
STREET= 2304 S FAWN DR
ADDRESS= SPOKANE WA 99206
PHONE,
CONTACT NAME= ALWAYS ACTIVE: PHONE:: NUMBER= :509 922 0-00
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT== N/A REAR== N/A
****************************K SEWER .t'Ct'1 l* # 4 ilxx1*3x(x)x113xj3* 3( 31* x* 13
CONTRACTOR= ALWAYS ACTT
STREET= PO BOX 141_1,
ADDRESS= SPOKANE WA 99
ITEM DESCRIPTION
PROCESSING FEE:
SEWER CONNECTION
3( 31 )*333231121('12'1('3232121'13432'3211('11 u- 1t
PAYMENT DATE.
02/04/92
TOTAL.. DUES=
PAYMENT
700
PHONE= 509 922 0500
QUANTITY FEE:: AMOUNT
i0.00
4'0.00
SUMMARY 1;3..3..3..13232 1:1cm:1:1in;a:
PAYMENT AMOUNT
50.00
.00 TOTAL.. PAI1?:'n 50.00
OUNT PAID AMOUNT OWING
:),00 00
00 ,00
PERMIT TYPE FEE: AMOUNT
SEWER PERMIT 50.00
50, 00
PROCESSED BY: DOMITROVI.CH, ROBIN
PRINTED WI: DOMITROVICI-I, ROBIN
SEWER STUB AS --BUILT INFORMATION IS A't;ATI._ABL.E:: AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT 1:S TO F LOCATE AND CONFIRM -2'2-2(2:
ELEVATION AND POSITION OF SEWER ;S'I'UB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CAI:{L_E: .- GAS F-IPINC;, WATER LINES, ECT,
CALL BEFORE YOU DIG t <3'_y •_,-0000)
SEWER STUBS ARE T
THAT THEY ARE CLEAR
1i13131(3*13 CALL. FOR 1
3*33-3i3i3f363i3e 24 i -j LtUE
EC::KE:.t) PRIOR TO CONNECTION -r0 INSURE
-BSTfil_ICTE.PTO THE SEWER MAIN
N PRIOR TO COVER 1111 32 112 12 1 32
CE. REQUIRED 11111111111
3.3..y.3..1..113.*.3.
ii12341 11 11 #111#1i3i111:113r 3x1112114 a; 1x111 THANK YOU :111'1ir 111 12 1111 32 11'1 111111##1E1411111