1992, 03-16 Permit App: 92001578 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 m 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
OWNER OR AGENT
APPLICATION
DATE
PROJECT NUMER= 92OOi578 APPLICATION
IS NOT A PERMIT ******
PENALTIES WILL BE A%%E%%ED FOR COMMENCING WORK WITHOUT A PERMIT
%ITE %TREET= 8O9 N MAMEK XU
DDRE%%= SPOKANE WA 992
PERMIT USE= SEWER CONNECTION -
*** EE NOTE ***
O02755 PLAT NAME=
i06 LOt=
OOOOOOOO F/A=
DWELLIN�%=
=
OWNER= ROSE, KENNETH
STREET= 44O4 AVE
ADDRESS= VANCOUVER WA 98661
CGNTACT NAME= KENNETH ROSE
BUILDIN� %ETBACK%� FRONT= N/A
}NE= UR -3.5
r�=
PHONE NUMFR= 2O6 69� 37Oi
RI�HT= N/A REAR= N/A
************************* %EWER PERMIT ******************************
COwTPACTOR= OWNER
ITEM DE%CRIPTIGN
------------------------
RE-IN%PECTION FEE
FEE AMOUNT
-----------
35.0O
'----
%EWER PERMIT
PRCCE
PRI
BY: DOMITROV]
BY: DOMITROV]
”-PAR
AMGUNT PAID
CONTRA TOR OR APPLICANT I%
ELEVATION AND POET'TIGN
EXCAVA7
TO LOC
12.;
O4
.�O
AMOUNT OWING
i I% AVAILABLE AT THE COUNTY
LOCATE AND CONFIRM THE
PRIOR TO ANY OTHER
BURIED CABLES,GAS PIPINGWATER LINES, ECT.
'
YOU DIG (45"-8�OO)
ARE TO
THAT THEY ARE
****** CALL FOP
******** 24 HO
*********
CONNECTION TO IN%;RE
THE ,EWER mAIN
COVFR **********
********
*********
******************************** THANK YOU *********************************