1992, 10-27 Permit: 92009401 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
r)3e 3i: :J3 i33X--;-)3E if3i:*X:333
SITE STREET=
A1)131 E.
PERMIT f.j.': ti:
a*iii SEE
BLOCK
ARE
OF 1Ti..Ut::.''
hi1)1)l\L..S,Y==
1:)
ISSUED I' E: I'{ 1"i i l DAT-- 10
PERMIT :f.NFCiRi'AT
IF RD
99206
-.. 1!`N .C..1i.n88 J‘92S 1 i i- .
F i : f Nf::'li`46i:::. GAIL
F/A= I::'
1 DWELLINGS=
CONTACT NAME= 1 ;T'13TRUCT1OiV
PHONE Ni..!I'31;iE.R. 509 926 - ^
,.!. A,..t-v SETBACKS
i', L.)r::.... N/A LEFT= N/A li .L :.v !-; i :.:. p j f:) REAP= 0/A
RA********* SEWER PERMIT
CONTRACTOR= F -i i R f:ij
STREET= 1 181
ADDRESS= : POKf
ITEM DESCRIPTION
1-^I'1O1 112.E:: {. I'iC FEE
SEWER 1 (;( :'it:a.1 .1.1J1'v
1R !CTTpN
LaywAy
3i' i6'Je 3@'7i )i d.: ii iti i4 i@ 3i 7t d.i 1", rzi ,f 1" 1 E:
PAYMENT DAT lr
TOTAL DUE
PEE -6 MIT TYPt.
SEWER PERMIT
1) BY
D BY
Pf)i"i11 R(:iS
SEWER STUB
i. 1'T.i:I...:I.'T1.I:::^S 1i fT'I'P
*KKK** it X XiX-z 3YJ1')t )HQ -X )* 1X3''3•: *12:$ 93+1.3@
QUANTITY
...............................
r
RECEIPT'
'
9536
.00 TOTAL. F r:,:i.'r :-
FEL AMOUNT
50 00)
50.00
:!:71'1'fi;(.:C TO'
El.EVATI 3N i! N
�..EXCAVATION
TO L.I:i Cbi i
CALL ..F7!
.SEWF f{ STUBS'
THAT ..i i a_..i
* 3i'iiY;i%i i¢3r
+11:31** -X :*4.:it
****h****
ROBIN
ROBIN
AMOUNT PAID
FEE Aiv3 UTi!IN .i.
1r.),'J0
40,00
)r 1(—*3'?-) 3i)t 1!'A)h3ii')i-3i'3k 3.: Ji'b)3
3 !.1) L T :1.7,11: I.T!` MA T l:!'1P3 12 (\\I .:^ T! A01
,PPLICANT 1S TO FIELD
POSITION (Til' SEWER STUB
T 11:111.1i
AND CONFIRM IHE
11.j AiJt OTHER
GAS F'IF'7NG, ECT.
TO BC CHECKED PRIOR
j:c::;
I'11`J1) I.Ii'JCi)f{^S'I T{l.)t_ T I:
INSPECTION Ci.I.f.JN PI':.i.t.3!'
i iLP NOTICE i
456-3604
)1 'lc THANK 011
(TIE' LTION Ti:i INSURE
HER riNAIN
d6div.***)..,*36
:63z"idt1t3i'31.