1992, 06-19 Permit: 92004520 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1363 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 REOUIREMENTS/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 i / .y. ,T APPLICATION
OWNER OR AGENT I"4'��7 ./J �'`—' --��� DATE
FRC .lr (;T NUMBER= 92004520
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ESSiUF. D PERMIT DATE= 06/19/92 PAGE= 't
RMI:T is 1`lFCJRrlAT:ECIN aiir);n.**
ri ri'.X..)i di ii -X: ii * -.X..X .--.X..L;
SITE ETRE' :::T'::: 1 009 i! FELTS F PARCEL t--.: 15171.0917
ADDRE:S _: SPOKANE: Lf:
PERMIT i.ISII : SEWER coiNEC:T':i:Cli-' DRY LINE ONL,.'Y (92S-644)
Xi*X' S'i:::E NOTE:: t* -1i*
PLAT:;;:_: 004459 PLAT rt AME= SP 7•Y
BLOCK= LOT_: 4 ZONE= I-Jri....;,.':; D']';:T;;:=::
,_.
AREA= 00000000 ', c WIDTH= i I ._ 1)1 i>
4 OF IifL..DC.;,S'== 1 0 Ii4:JF::i._LTNGS= i WATER DIST = MODERN
OWNER= ROE:II:_I'T SCH1E MAN
STREET== 2250 E:: DAL..KE AVE
ADDRESS= OTIS (FrHARRD:: huh: lik)
CONTACT NAME= ROBERT SCHIEi:RMAN
PHONE= 509 928 0218
PHONE I' t - 509 928 0218
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
3rv: 3*3*X*3r 1k3'
***K****** SEWER PERMIT XX' a' ii'
CONTRACTOR= UNKNOWN
[TREE:T::: IJNKNOIWN
1`IDIiRE.SS=:' UNKNOWN WA UNKNOWN
:I:TEM DESCRIPTION
PR(.ICE:.S,S.I.N(., FEE
SEWER CONNECTION
•4 •
dpi X iii )ri il )t' ,r')iii' ii' il' P::li" Xi il' iib:X' )i' ii' il' }{' ir; iri'X X' if. 9i ii it X RAI rl ':. r SUMMARY F, '� ( .y+.X..b: ik $iii ie X' bi'X"4i'Pi'Li .X.'XXX 'Xi *'p:
QUANTITY
1
PHONE=
FE::E
' * A' i+:"X' il''A:
MOUNT
10,00
40.00
I`'r;YMI::.NT DATE p [:c_E ]:F r PA''MENT AMOUNT
06/19/92 50.00
TOTAL DUE.::, .00 TOTAL PAI'r::: 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID <li'iouwT OWING
5
SEWERI"E.Ri`SCT 50,00 50,00 ,i)i;
50. 00 50,00 .Lifi
i'f(i:10E:SSE::D BY: JUI_..T
PRINTED :BY: JUL.]
SHATTO
SHATTO
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE:
ELEVATION AND POSITION Or SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BUF;IE_D iL:A}:I.,.i:S', GAS PIPING, WATER LINES, ECT_
CALL BEFORE YOU DIC, .=56 Jc'00)
SEWER ,bliss ARE TO : E CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR I I'R. i_;i D_ UNOBSTRUCTED TO THE SEWER MAIN
..
it .yi. X}L}L.9;..X..X..X' CALL FOR .i. C+:b 1]f14 PRIOR TO i��: fl'+ E::i'� di''ii�'X�ri�X ii m: i': n: ik
vr
..
�ii�ii�ir ik 1i 11 :1l:Ar Ar t �'F i-iii„rt, it -`NOTICE REWIRED -k:k'ii *id ie dF:ri *
:ni31*1*)i)i.X-X Xi 45.$--3304 1':' u' XX'XXu);ri X'
n. ielri;li9; ie * *li li Sr iE4r *i9r; *** **ip ii. it r: a; 1; 11"1 %l lv i', 11.1..1 ***fl i:'L''ii)iN}iE ai ii ?4 {a