1992, 05-13 Permit App: 92003366 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, 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
PROJECT NUMBER= 92003366 APPLICATION Al'7:C:iiv i)ATEE.::. 05/13/92 PAGE= 01
SIT
3E 3s 3E3E3(3E THIS IS NOT t'a PERMIT *i..... .
PEN u_f L .s IWIL..L. BE: ASSESSED FOR COMMENCING WORK WITHOUT as F'E:RMI:T
'ET= i f_+i" ,5 HAME t RD
nri_'rL,:,,'" SPOKANE WA 99216
PARCEI._t= 27541-1346
PERMIT IJSE:- SEWER CONNECTION -- iWOLFC:RE:.ST (92S-'-457)
3i** SEE NOTE: )i**
i i..AT1 := 002717 PLAT NAME- VALLEY HEIGHTS ADD)
BLOCK= 1 Lar:ZONE= AG LB DE F
AREA= (C P'/A:=: F WIDTH= 100 14 F' IN= i 4i R/n.: 50
II OF BLDG S-- „' DWELLINGS= i WATER DJ.ST __
OWNER= UPHUS, RALPH PHONE=
i -t E_E: T= 1815 S MAME R 'L
i' -k••... -. y
•v.i
SPOKANE uWA •,• C,
CONTACT NAME= COURC:I-IAINE EXCAVATION
PHONE NUMB;
BLIiI_.DING SETBACKS: FRONT- r+,'A LEFT= N/A RIGHT- N/A REAP:
3a .g.:,i..g.:,i..yi..yi_yi: 3': 3i k—)i h 3r 3P •) 3i )4 )4 )i )i )i )i *XX**
SEWER PERMIT
CONTRACTOR= COURCi;AINiE CONSTRUCTION
STREET= 16403 E Vi-ii_i._i:CrfWAY
ADDRESS= VERADALE. JJA 99037
ITEM DESCRIPTION
PROCESSING FEE
SEWER I.: C?ONNE:_CtION
PERMIT TYPE FEE AMOUNT
SEWER PERMIT
50.00
) 924 5485
di..k. i(. 9i..y..)i 3i ), )i 3i 3i 3k ii 3e ra 3E .7i. ii..Yi .yp.li. u. yi. ) 3i ra
PHONE— 509 924 54R5
QUANTITY FEE AMOUNT
AriC:NJ1'JT PAID AMOUNT OWING
,00 50,00
PROCF SSE.D BY: DOMITROVICH; ROBIN
PRI:NTE::D BY: DoHI1ROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT '(=56--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM TIE
ELEVATION AND POSITION OF SEWER ;'TUB PRiOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED f.::r;J:i..ES, GAS PIPING, WATER LINES, E::CT.
'AL..L.. BEFORE' YOU Dfr (456-8UOO)
\Ei$EEE STUBS r::,RE:: Tn BE: CHECKED
:HAT 'rH Er Pit -!L CLEAR AND LINiaBSTi'
ii****3i** CALL FOR INSPECTION F r
3i3E3(3E3E3e3E3(3e 24 i -TOUR NOTICE_R
yi.ri.ii..yi.3i.di.ri.ri.ri. 456....36104
3E3¢3E 3*3'3•: 3e#.ii.3*3i'* 3E** 3E* 3i 3E 3E 3E 3s)E a 3t 1**:
E3E THANK YOU
TO CONNECTION TO INSURE
TO THE SEWER MtlJN
TO COVER *****3i***3i-
[RE_, 3E#*'y!3*3*3*it'*3E
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