1992, 06-02 Permit App: 92003937 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 Certdicates 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
1: 0 :5 9
!..L BE:: ASSE
f:tPI''I....I. (.,f'7 T ION
SITE:: STREET= 13308 E GUTHRIE DR
ADDRESS= SPOKANE WA 99206
I'ii_RN IT t.
''L..f1 1 'ii: `:
:BLOCK::.
AREA=
0L. I i BLDGE-,
01 A Vv.:
COh)MENCI.I
SEWER CONNECTION !IIL..L..CREST
'
T. dE ii #
00 I
PIAT
n.
DWELLINGS
OWNER= PEDERS DN,,(. FtOB T"
STREET= 13708 E GUTHRIE DR
ADDRESS= SPOKANE:: WA '17 t )
CONTACT NAME= ALWAYS ACTIVE
DATE= 06/02/92
)E ik di')i nt i;.
WORK WITHOUT
A"r.'C;L:I...v 27544.1 1 .
i-I:I i.I._C;RE:.';:T (t:::FlE ?ND ADD
1.= if.J!'J {'. '''' nt.r,Sl.J,ti D1:, 1.4=
F L. I1.1)_LI-!:_:11l:.F' (I -I=
1 WATER DIET _.
'HONE NUMBS:Ri 509 92.-: `;,00
BUILDING SETBACKS: FRONT== N/A UM, N/A RIGHT= \,:A RF_r:;R.= NiA
)f .)t**h h;3'i
******.k )i 3i k r!;:: W
(CONTRACTOR= ALWAYS ACTIVE
:STREET= P(1 BOX 14156"
ADDRESS= = SF`i::OKANE:. Bir; y?S
:ETF.M DESCRIPTION
Pi O E::S',S I:N( FEE
'EWER CONNECTION
PERMIT TYPE:
SEWER PERMIT
(R.I.NT E:D
BY
BY
t_IT.
PERMIT
Li ii rP ri n' j+ )i" 3t" * -X k—A: 3'i -)'i bE it ik of it g
QUANTITY Y FE::E:: AMOUNT
`T
10.00
40,00
FE_F' AMOUNT AMOUNT PI1) AMOUNT OWING
5').00 ..00 )0,. '.1'.i
50.00 .__. .00 5000
J''Llt•i.l G: U',!] CH, ROBIN
.ui.Ji'i1. T ROV:! (..F"!, ROBIN
(.JB AS--BI_UIl...-r INFORMATION Tz: AVAILABLE Al THE COUNTY
i TE::S DEPARTMENT ENT ;`'5--:3604;
ACTOR OR APPL..ICANT 1:S TO IIELT) L..OL:rill::. fil'. GONFERMt THF;:
1rf=tT.i.1N AND POS'LTIi)f' fir SEWER R :';'ttitz J ANY OTHER
EYC T1ON
TO LC
tUR1
CARL 'S, GA,`: PIPING, IAIAT'F::r: LINES, !HT.
ST(.113;' ARE ..i.(.1 BE i'.Iii i_:I'`I:Ti PRIOR 11
F! i-. `i ARE CLEAR UNOBSTRUCTED I t
**ie CALL FOR IN. F`ir: C: T :i. f1N PRIOR 11.
) 4 HOUR t1t t i.%.:!i:. REQUIRED
1)
kik**it1E}:•) *$isrcr7iE «}3•i it iE 3E iE ii)i iE iE *it**
NECTION TO IN
- i:IE.L.iER MAIN
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'THANK YOU 3E3'id:d...::'A'...19 tkf:dr9t)t'1tR'lt')t di.3e d@di. *34#3E}�' '
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