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1992, 06-03 Permit App: 92003989 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 FCJEC! NUM iE,APPLICATION O" ( M/03/92 : .. THIS IS NOT. ,M,,- .. .. . ii�ic..ir n.rzr• ir. .. ::, .t. :> NOT A FERMI) :'. i•. ,r is ii if PI:::NAI...TIE:::>' WI:L_L.. HE ASSESSED FOR COMMENCING ixORK WITHOUT i`! FERMI: SITE STREET= 912 S MAME:R RD PARC%=i..d,=' ,_:'i •;, ADDRESS= SF'OKANlc. WA :r':?;.-ia.;=: PERMIT US E- SEWER CONNECTION •)3H: S I': E NOTE * ii.:,: WOL..ECREST 2..-560') PLAT4= v'=° 0E)? 53 PLAT NAME= VERA D 1 1 _ _ DIST r? ZONE= i.iivl':. 4u:: AREA-. :ijC;:JJ F/FrI- DEPTH=L: 4 OF DLOGS= 1 4 DWELLINGS= I WATER ...... OWNER= STREET ADDRESS' CHURCHILL, PAULINE 912 S MAriER RD SPOKANE WA 99206 CONTACT NAME= H to CONSTRUCTION BUILDING "1Y _n".e ; FRONT= N, . ;'=T:N/A RICrIC ;[ti;.v/= F ONE NUMBER= SFJ `' _.... 046 **ii-':*)iii )t ,r is i': :,E 9i.:;,is **r: ii. )e g*.ii.•x-) .-i- TRACTOR. S_i.REF APP' 'IiES:;:: .x SEWER PERMIT FI S CONSTRUCTION 11817 I:'. V A I.. L.. i:'.'T 1,:J A Y AVE SPOKANE (IA 9920 i:TE,M DESCRIPTION PRO'E:SSIN, FEE SEWER CONNECTION PERMIT TYPE: SEWER PERMIT FEE AMOUNT 50.00 PROCESSED BY: DOM7. ! ROV1(:11, htt.JB1 PRINTED BY: .nr:)r'ii: TRC)VICH, Rni 1 SIi:wE:R :i'TU(1 AS—BUILT INF=ORMAI1ON IS A'I:'i:L_ABL.E AT .(.F.IE COUNTY ti C:i. L_t : ;. IE: S:' DEPARTMENT i. => _::....,,;;0.e } lTACTOR OR APPLICANT 7fFIELD A"— N`1 _14 I_ " H- E G71':C(7N AND POSITION t.n- SEWER SIU:{ 1::!,;:_:r: TO ANY OTHER AtiA'I ION }iii: ii: i;: :,;. .; * i+: p; ip it it ii 9i 9i )E Pi is c, QUANTITY FEE AMOUNT 10.00 40,00 AMOUNT PAID AMOUNT OWING ,.00 50.00 t'„J 50.00 TO LOCATE BURIED CABL_E::S, -Ar PIPING, WATER I [NE`:, ECT. CALL BEFORE YOU DIG SEWSTI.IEtS ARE: TOCFa ur,ED PRIOR lil' ARE (:;i...1 (i''t Fli:tl; l.!i (li'i;'T'Fi1.IC;"i'ED io-aiacii'ii' CALL FOR ]p1SI:'E::CTION PRIOR 'T(::i *** 24 HOUR: ivtlT LCE F;E:(;..!IRE.D A A*e3e)i .) ii iE THANK YOU ae).*** i !:; ii.T:(:)N -CO I N'i.11':::: ... ... EWER MAIN 11 )'?a)': ' )':isdi..,'.ar* *****K is )i id it *if A iiA:i-Aif,4 )( if ii)F A dry i•?:g..,°ir:'i.ii