1992, 06-04 Permit: 92003989 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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, 1 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 specdied
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
PROJECT NUMBER= 92003 ISSUED Ftrn.1 DATE= 06/04/ 92
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E RM1 I INFORMATION )['Ax*: 'i['*3*j['
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SITE S1i .....ii:T.. '::'2 s M"ir)i'il':;i:' RD PARC.G.i._:g::::: 22544; o21
ADDRESS= :i 1='OK nt;!E: WA 9' 'Ot
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CONTACT NAME:
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CONTRA[; i O = & S CONSTPUC.T1ON
CE.T,: 51017 E" VAI_i...iiEYL.IA'i AVE
rD.r":SPOKANE /r 92206
ITEM DESCRIPTION
PROCESSING FEE
P
PHONE= 509 926 0964
QUANTITY C" E= E:. AMOUNT
1tai.00
SEWER CONNECTION
40,00
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PAYMENT DATE I'cfi.Ci:Cf E'T:"' PAYMENT AMOUNT
06/04/92 4107 50,00
TOTAL.. DUE:.=.sr..
DUE=.00 TOTAL � P),I Ti::r 50,00
t.
FE::E.: AMOUNT AMOUNT RAIL) AMOUNT OWING
50,00 ,, .,0i) A00
50,00 50,110 .,00
i:l:::I: i•iI:T TYPE:
SEWER PERMIT
PRO(E:SEED BY: 1)i,T(" ITRU'VICH, ROBIN
PRINTED BY: DC?MI:TROVI H, ROBIN
SEWER STUD AS--Iit(.11':._T INFORMATION i'>.`E3.. _{axe.... F;.TW CQUNTY
UTILITIES DEPARTMENT (4 56-3604)
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CONTRACTOR OR APPLICANT
ELEVATION ,U'.3, I'i'i.i'I'i':C(llJ
_(::VA P ION
TO ri:EL..t LOCATES: AND C(NFIiRri THE
EWER STUB PRIOR TO r:iriy (I.i..iiEi'1''
TO LOCATE E: BLJR:CEED ('ABL.ES, IAS f' 7:EIIVi;, WATER LINES, ECT
(.456"-80001
C:Ai.1.. t1E::i=ORiE 1`(al_!
;SE:WERSTUDS ARE TO DECHECKED PRIOR TO CONNECT
THAT THEY ARE Ci—" AND UNOBSTRUCTED I;(.I(:'TEr.D TO T
)['*je.[.ii.A..x..i[.j[' CAL..L.. I". INSPECTION PRIOR TO t::Ci'',`L:I
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Ai j4 r::INK YOU
TO INSURE
i' MAIN
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