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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 1k •p: 'li'T'ilµli)E'P'li" **X** it h )t')a A: 'THANK YOU 3E3'id:d...::'A'...19 tkf:dr9t)t'1tR'lt')t di.3e d@di. *34#3E}�' ' y',