1992, 03-02 Permit: 92001079 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= 92001079
ISEUED PERMIT DATE— 03/02/92
rr* a ? ! : _ 3 ** * : t t : 1 1 J : *x*rE iPERMIT '. _R"4I(w rp: * ) t 4 j * * 1.;jj** }je ¢ ?(„jj
EITE
t.)NfiNi::. WA
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PARCELO= 27542-2536
PERMIT USE= E E W E::: ?.:»! N N E::. C ! . t_) E'! i••E I E....... t.:: i•`: t.::.E ; (92E-132)
! i... i••7 # s- .... 001222 PLAT NAME= HILL .. t..: #'� t:. '• 1 ACRES 1 � • t {••i t 3 ,, t
BLOCK= LOT: t.1}Ji::.:::: F•1tx:.:i.11:i DIET4=
r'1!{±::r•"t:::: I: :'r`tF (,.i:E::t)('H= DEPTH=
;N; OF BLDGE= 'i J txt .::. l...'s....E: ,'•; s;, E :::: 't WATER DIST ....
1 W N :. R ::::
ADDRESS= SPOKANE WA >'
CONTACT Nf"1Mi:::.... CO(,fRCHA.l:NE LAi rW ti t It,1#•'t;.. HONE::. NUMBER= 509 924 54a5
BUILDING SETBACKS: FRONT= N/A LE#'•#.... i'•S %' r } RIGHT= i`U :' r•`•: REAR= r;i ;% ,:a
'P.%'.t{''i{•'J'i')k3+.')...*'i'...Pi'A.'Pr***){'*•a)* .:A:••N.*1'i1k:P•
EEWER PERMIT
7+. ')'. i'. •)'. )e ie h:• •)t •)k •ie. •)#• N. h. i+. x:.),..q..N. n. 3'. 3C• •i+. i'. 3i• fi. ')E * !: -jr:*
CONTRACTOR= Cs ) =: rra, e:i : :" RiPHONE= (:t.5;9r924 5485
ETREET= .16402 E::: '`; rtE...E...i:::'r:ih±A'r:
ADDRESS= VERADALE WA 99037
ITEM Aii::.1C::R1FTI0N
PROCEEEING FEE
EEWER CONNECTION
. ; .:::.:.: ,.. ,.. •. ::. r.. ,: ' . ''. )'. •P. Jl .){' . 9t• j,. •)'....• .... 9+..:' 1+
PAYMENT
QUANTITY
FEE AMOUNT
N..i
00
00
-, . I , ,--, Ri+'i i!i i!+: •)tr * 'i 'Fi 3+i iG * re• i+,i Pi .)t:.Fr 'P: 3'i -)'r :+r iii :k• 1: * a 'JC ;!: i''i :k
PAYMENT DATE i::. Ri::.!.: F:..i. t- O PAYMENT AMOUNT
03/0;2/92 1369 50.00
TOTAL T AL D'I.UE::= :.00 TOTAL # AL, PAID= 50.00
PERMIT TYPE
:'I:::EA;E:::i:>; PE:::E't:M1:•T.50.00 50.00
BY :; i l..i r'r 1 R. C:I V .i. C:
;i'{`: :1: f I is 1,`
J z:
CONTRACTOR
EXCA 'TION
EE AMOUNT AMOUNT PAID AMOUNT OWING
50,00 50.00 .00
.1.: f f ti; (•) T #... i'•) }i #... 1::. AT THE COUNTY
i••t!' 1•'t....t.t.:r..iN 1 1. TO 1•• ..1.,-ATE t::. AND CONFIRM THE
POSI
CABLES
1.i .1. 1:r ....
' SEWER
OR TO OTHER
GAS PIPING, ! V r , af:R LINES, N t
:ECT.
1 , •
1„ir,)'%1::. t..: 1 ._y1t TO .!.!'::t..{1•'•.E
[.. t.. j \i :. i 'Ji: Sr 'P: '1': 'Jk •J': :+t• •?': ;S •1!•
.............. .... ..
:+1.-)';.jl;:t+--'' 9'. '?'.•)i••A:
:`t•: • * 'ii •i •,' •i is N
»r..r: !? r : : : ) ! : i !? F: ? r ) i f 9*a) 9 :? )tTHANK 9?l:h::J:i::S1.}:::1Jn : A , S::a
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