1992, 09-22 Permit: 92007933 SewerSPOKANE:COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certdy 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 Taws and ordinances governing this type of work will be complied with whether specified
herein or not. l understand that t •ssuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shalt not be construed to
give authority to violate orcanc- - provisions of any te or local law regulating construction, or as a warranty of conformancewith the provisions of any state or local
lawsOW regulating construction. L�'� _ 75
SIGNATURE OF L>Z"/}/y /!//X/n/X `'��_ APPLICATION � 2 /9�
OWNER OR AGE �� DATE
PROJECT IJ—r13Fi:92007933
7.S;`UEIJ PERMIT _ATE:=:: 009/22/92 PAGE== 01
_
�ie ie ir: PERMIT INFORMATION '>ky
SITE
._' S t:C13-103
3703 'G4r Ut.!T i_
'DR
i
ADDRESS SPOKANE' WF j 99216
PERMIT USE_. SEWER CONNECTION
IhI_r1tO=:
AREA=
i' OF BLDG,,"::::
OWNER=
STREET=`
11)1)RE:SS:
{ 01 223 PLAT NAME=
10 i.t1T:::.
1::' / A::::
14 DWELLINGS=
GJ:DDE'.N+:, ..IAC:I<
1 .131 ;1. I::. GUT HI",IE: DR
SPOKANE WA 99216
CONTACT NAME- JACK iG.i:i;I EiNS
BUILDING SETBACKS. FRONT:._ NA
a. }.. y ie ii :'f iF'i;: -)e it.)i..)i..)i..)i .); *
PARCEL;;:_- 45274_1501
1111_.I._CRE:ST ACRES
1 ZONE= i. R �> El 1.S r.":::.: F
`i
F WIDTH- lli::.r T'!-;:_: ;; ;'IF;:::: 60
1 WATER DIST
PHONE: 5cl9 924 4E12
HONE NUMBER= iy,,,
LEFT:. NA R1i:;HT::= NA REAR= i-JI'a
iBii,0itd'i')i.dE.ii'3.-g...)(..i..ii.i'iM'iiflii—hi*ai..ii.0.k_*** SE:In!E..R E'I::.RNIT`a:a—**ii.:ii.)i.g.#.:n)9i*Ka )i..)i'A*9idi-x-*-paa n)*:ry U;
CONTRACTOR= OWNER
ITEM DESCRIPTION QUANT1T`;
PRC FEE
SEWEI '_:TION
')i' i': it ii..)i..h. ii..)i ik )i' ){ .)i * )i )i * ii )r':e * * a..;i. ii. ik ii..ri. ik i': ii..h.
PAYMENT DATE
09/22.92
TOTAL DUE::.:_
P A Y I"1 E N t SU
MARY
RI: 0E:rP rI
;044
.00 Tor Ai...
itii01ljNT F'AT:C
...................
50.00
PERMIT ..!.v:I"I.' FEE AMOUNT
SEWER PERMIT
I'i
PROCESSED
PRINTED
BY. WENT
B `T` . WF:N
SEWER
t;i...OR.I.A
GLORIA
4.00
50.00
PHONE—
FEE AMOUNT
...... a a4..*....*
i r`iYrIE: JT' AMOUNT
0-00
rs . 00
AMOUNT OWING
—BUILT INFORMATION IS AVAILABLE
DEPARTMENT ( 456--:3604 )
CONTRACTOR CR Ar'F'LICANT IS TO FIE!
ELEVATION AND POSITION OF SEWER ,_
EXCAVATION
.T.11 LOCA
c:AL_I_ 1
SEWER STU
THAT T I -i tE. r
)000i, it
..n1. .. 1. .. ,. n.
DU
A -r THE COU i`JTY
.ND CONF IRM THE:
i iJ ANY OTHER
E:0 CABLES, GAS PIPING, WATER LINES,
i.J D I.tx .4!;il-130010
ARE,: TO DE. CHECKED PRIOR 1cgN
E._ CLEAR AND I!I'rl.JA:%S I E(!J(_ l Eri
LL FOR INSPECTION P'i .i:i.i., To
24 HOUR NOTICE REQUIP11)
456-3604
.... ...H . I. .yC) .. .. .. .. .. .. ...
]f pf gi.:ll:!':[{o:i:'$4 jE P::�fi'. btjt. )i')t ){:Il'!t II"1 i'fJl'. you
{:TION TO INSURE
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