1992, 04-24 Permit App: 92002828 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P 1•t;:,l.,,?:•• t . 1 NUMBER= 92002828
APPLICATION DAM= 04/24/92 PAGE= 01
;e;• {• ji• * i• * THIS .I. i'• NOT A PERMIT ** ¢ * 9 *
PENALTIES Wi.1...i.. BE ASSESSED FOR C+_?i1tiENc::,1:N?7 WORK WITHOUT f•" -i i i::.HM.!. ±
SITE STR4::.I:. i .. 1802 ;:%2 1 OREiz :'..I.
fr, )..% D x`.1::. < <:::::: SPOKANE lai t•`•t 99'212
1''i::.F1'M.i.
P I..1 •
SEWER CONNECTION (92E-381
I::. NOTE I E !t * j;.
PARCELO= 26531-1408
PLATO= 1l?j ; PLAT NAME= ilrTIPARK 1ST A?i
s.
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4 OF .l • ?.. D I :::: 1 •r.• DWELLINGS= ? .,J /:`•i ? t::. Pti ? J .::: I .... ..'.• ?' +.? CO i t,,lj•:;•! t::.t ?.) .' ... e' •.. i .
4NF:.R:::: d.i. ?... ?... t..; P; d? : TIM ='h ?<.R.1.:i
'i 1"•'.L:.t::. T"::.. :'="i> t:. 10TH 1.•t AVE
CONTACT NAME::: ?•_; f :i PHILLIPS
PHONE= = :y!.!' 838 5281
.PHONE NUMBER= 509 .? `7 0936
,
BUILDING
?I??I;x `ETsiC;: FRONT= LEFT=
E„;= i % fiRIGHT= N/A REAR= N:{
* * ae::,; * : ; 'Pi 1+:• •iii •Pi 17 * * •Pt * •ii- !i..i;..i;• •Ni -Pi li' 'Hi* ')t' ti• );• 'li• 'Ht sEWER .,EWERPERMIT .Jk• 9!• 9!• ii• •ik * P:' '!±• •k:• •A: •A: Y: •P: * ii- i+: -P: •N: •P: •Y: -A• ;n:* •!k * •F: •N: P::k .R.
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ADDRESS= SPOKANE WA .
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHOt'..I:::::: 509 927 0936
QUANTITY FEE AMOUNT
?
40 0 0
PERMIT TYPE P' 1::.1::. {',1"1 Lit.) i4 I AMOUNT PAID AMOUNT (..!A NG
SEWER PERMIT 50.00 ,00 50.00
50.00 .00 50,00
: •..._ _. (.J i :i. •7 i'�`. is i '1' :I: : h'i , OBI N
1
4i)14.) i:{ •r : t) i:i i"�1 :i: —i' Fs r. is i� I..I ;::1 B :i: N
ti ?::?:{ AS—BUILT INFORMATION I,:: AVAILABLE AT THE COUNTY
,ITIES DEPARTMENT (45'') —3604)
.TCiR OR APPLICANT :[S TO FIELD LOCATE AND C;::;:i\iF'i:1 I -i THE
ELEVATION AA% I'•. D:i POE' t. ? t. i.11'.' OF SEWER STUB PRIOR TO 1 f"'11;' Yt OTHER
EXCAVATION
TO
CALL BEFORE . Y i. EU ).1. i.:r
:.; PIPING, WATER ?....I.1'•!.E,:r! ::.t.:?
%i.•! i
SEWER STUBS ARE TO I:{E�3_. CHECKED PRIOR? O j:ONN Ec: :1:Lj\ TO INSURETHAT THEY (I:4 I.:: 1 1... t..: AAi ? AND i.% t. 11 11 r.{ : I t I I l., i t:..1 i TO 1 t i"! i::. SEWER MAIN