1992, 03-16 Permit App: 92001534 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= 9200-1534
APPLICATION ION DATE: 03/16/92 PAGE::: Oi
***K** THIS IS NOT A PERMIT •>t :i:#•ii-*
PENALTIES WIL..I... BE: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12824 E C;UTHRIE: DR r-ARC'E1...O== 275.7-••2804
ADDRESS= SPOKANE N1::: WA 99216
PERMIT USE= SEWER CONNECTION •••• 1••iiL.L..CR'F:ST (92S-200)
*itit• SEE NOTE E *it*
PLATO= 001223 PLAT NAME:.-- 1111...I...EI•; F:.S ( ACRE ND ADI!
r .
BLOCO=
_ UR— ;; .:> Ii 1: S is„.::_
ARIA= F"/'('. = F WIDTH= DEF I•F.I:=
OF 1:;LDGS:= i H: DWELLINGS= •i WATER DIST ....
C)IWINER:- I•IEL_L..F . P R
STREET= 12824 I::: i.rLl••IHR I1= DR
ADDRESS= SPOKANE WA 99216
F 1-1f)Nf• =::
F'•
R/ W=.
CONTACT NAME= OMEC: CONSTRUCTION PHONE NUMBER= 509 448 30.10
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= r4, A
if: * 'A• * 'A: •* * A: ')•.' 'N: 1\' - -P: # * •b.' * T: 'P: * '* 'A: * ')t.' * E E:. I.J E:. r-. PERMIT **ii••a'ii'*• -ii• :)+:')i..7i..p:•k..ii'k*k*ii-*:ii'>i:ii• •'p:'•a• i>•
CONTRACTOR= OME:C: CONSTRUCTION
STREET= RT i BOX 88
ADDRESS= SPANGLE WA 9 -?031
ITEM DESCRIPTION
PROCESSING FEE
t•-
SEWER CONNECTION
PERMIT TYPE
EE:WEFT: PERMIT
FEE:: AMOUNT
QUANTITY
PHONE- 509 448 3010
FEE AMOUNT
10.010
40.00
AMOUNT PAID AMOUNT OWING
50_00 .00 50.00
4•
0,00
0 i — — — 06 50 .: 6
PROCESSED BY: DOMITROVIcH , ROBIN
PRiNTED BY: DOM1: ROV:L•CFI, ROBIN
SEWER STUB AS.....81.IIL_T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT 456---36104)
CONTRACTOR OR AF`F'I...I.C.::ANT IE TO FIELD LOCATE AND CONFIRM THE.
ELEVATION AND POSITION OF FEWER STUB PRION: TO ANY OTHER
EXCAVATION
TC) i...00::ATE BURIED CABLES, GAS PIPING, WATE:R I...INES, ECT.
CALL BEFORE. YOU DIG 456-8000)
. EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE: SEWER MAIN
•x•'k•****-x•** C'AI.-1... FOR INSPECTION PRIOR TO COVER isnj{*riiE*h-#4c
**Vit•*')f'3t•* * 24 -Ott NOTICE REQUIRED t?xR3*19iu
n x b . h k A ( 456-3604 C PlNk 7PA
C ,
Y C t ak Rf f:IC *HRN T * *kiYi*PfJP111”{HTHANK y-l
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