1992, 06-03 Permit: 92003978 SewerSPOKANE COUNTY IMPARTMENT 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 Taws and ordinances governing this type of work will be complied with whether specified
herein or not l 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 pfowsions of any state pr local law regulating construction. eras a warranty of conformance with the provisions of any state or local
laws regulating consiructio,
SIGNATURE OF \/ APPLICATION [e 3 . Z
OWNER OR AGENT 11f1L DATE 7
PRO.jLC:T ''UMBER-: 920..
r.
ISSUED PERMIT. .DATE 06/03/92 PAGE:::: 01
.....**................... *****i
a��r yr 7r yr')r yr lr xyr.rc rr 7r sr arxx"r r. yr ii�ie#ii�ir it ii�ir PERM' �1 .I. I'?)"1!'{17 r-) i .i. .i lV ii'ii if ifi
PARE E::1...:: 27',141 ....1019
PERMIT {,i.::,:.... SEWER CONNECTION .... l,.ii_1..REST 1
*ie* SEE NOTE. aeii ii
SITE STRE'ECT==
ADDRESS=
1 r 1 0 HAMEI:R R1:)
VERADAi...E. WA 99037
PLAT:;!,_ 002752 PLAT riL=VERA
••'
BLOCK= L., Cis.::: .:.t.)14c:.:.:: r'1):.:'I_gt
AREA= I:r/A: F WIDTH=:: 130 DEPTH,- 300 E'(.`!J_:.
i' J OF ,'.?I._l.,GS = u DWELLINGS=:: i WATER DIET VERA
OWNER= I:_F{i.L:ISON, JOHN
STREET= 1710 S MAHER RD
ADDRESS= V'i_:RA1)AL i_ WA 99037
CONTACT NAME= JOHN iE:RIJ:::KSOid PHONE NUMBER=
BUILDING SETBACKS: FRONT N/A LEFT=
'7f it ii 3t 3t ii Y: # %Y'li")( iF ii. it'g if 3r'h ii' if X- ii: it 3* it if 'A•
di' ii
A
SEWER PERMIT
RIGHT,, N/A REAR= N/A
.7, *.y *:l, .*
CONT ACTOR:— ( NER PHONE=
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.:,
ITEM .1?E: CR:1.1='T':CT:1 P.! l,C.lrt; l . r PEE rrM"lu IV I
PROCESSING FEL Y`
SEWER CONNECTION i
*.N:.)@.*3::,i.giini.)i.:,i.ji.ji.j@.li*y.*..li..)r.)r._SUMMARY .ry********************0
40,00
PAYMENT DATE
06/03/92
TUITAL.. D!UE:..= TOTAL.. PAIFD..., 50,00
PERMIT TYPE FEE:: AMOUNT AMOUNT F'AT1::' AMOUNT OWING
,`:EWE PERMIT 50.00 50,00 ,00
50,00 /0,00 ,00
n)TMi: T Fi111/ IC:Fi, ROBIN
TiV'FED ii'r`: DOM:CTRCVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS f-7VA3:C_AUi...c:: AT THE COUNTY
UTILITIES DEPARTMENT ?456-7R,04)
CONTRACTOR OR APPLICANT IS TO FIE i_.ia::C1TE: AND COiNFIRH THE
ELEVATION N; AINDJ POSITION OF "Fr.'.NFP: S11ict i-i=`:.OR TO ANY UHF!=:
E: x f:: A'V r1 T I O N
TO LOCATE BURIED CABLES, GAS P
]P]NG, WATER _]NES, ECT_
Cr_, BEFORE YOU DIG t457 -8000,l
.^,.,...I.1 STUDS ARE: Ti.: J41 CHECKED RF?:i:C:il TO CONi,;!::(::'f1'ii, TO s c:. ya c:.' INSURE
THAT 't'tii=.`i ARE CLU'' AND (.)%JC1TiS1'FsIJis 1')_'i; THE SEWER i•ii iiii
.p:.x. _�i..x. h. x. v}:,,i'ii' CALL F- INSPECTION PRIOR li i..'I Ivr l{ ***MAW.
:biii). if 3<A ii ithi 24 , i-il:% NOTICE RE !_i[iil:'D *******4,y,
or rry nr oc,r ***ir 456-3604 *)i********
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4168
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AMOUNT
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THANK i t.! i-! X..11 .):.p, .,
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