1992, 06-30 Permit: 92004877 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 ith processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree : mply with sa ! ' All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.Iunderstandthatthei- uan••oft�': -r�'/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancelt=e• ov'•i• of a• / ate orlocal law regulating construction, orasawarranty ofconformance with the provisions ofany state orlocal
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92004877
IESUED PERMIT DATE= 06/30/T2. PAGE= 01
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SITE •.• I R t::. F:. • :::: 1 9 '1 t"} } '1 A F l: u :.) CT
ADDRESE= SPOKANE WA c. 06
PERMIT U sl::.:::: SEWER CONNECTION -" ti; F:. rt. Fi t.: R !::. ,.> ( (92S-666)
PARCELO= 45261,1906
at.
PLATO= 003136 PLAT NAME= VERA EST
AREA= 00000000 F/A= WIDTH= DEPTH=
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CONTACT
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CT
PHONE NUMBER= 509
BUILDING SETBACKS: t f,.i.1N'1':::: NA i...i:_FT:::: NA R:(:!;i'i;".... NA REAR= N;::,
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t.: t.!N.1..Imo`.AI.. I ;.:1',;:::: ALWAYS ACTT'STREEi. PO BOX 141 —
ADDREES= SPOKANE WA 99214
PHONE= 509 j ;t::'
00
ITEM i1L':.S i.::.R ]: P r:i: Cj N QUANTITY FEE AMOUNT
Y'ft:ia[.:f:.E:`•':iNfx 1F•,.:.F:. :f: 10„:,
SEWER CONNECTION t i 40,00
* * -N: -}r• -x )+ * * 'h} •}+i i+:- i,::P•• * * i':• •}k •}k 9i• 'M• -}e st• * hi 'x• i': it• •u• * :P: }t• PAYMENT SUMMARY * -}t• •A• i+.• i * 'r Pi •}i• '}k 9+: * 'R- 'Jt• * •1! :++: 'P:: 'P: P: i+::++: P::'!:
PAYMENT DATE 1':1::. C t::... _ .,.:li: PAYMENT AMOUNT
..6/30/92 !:: 50,00
TOTAL DUE= ,00 TOTAL PAID= 50,00
PERMIT TYPE r't::.t:. AMOUNT AMOUNT PAID AMOUNT ± OWING
SEWER PERMIT 50,00 50,00
t''1•t°(1(::l:::.
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Bl.
-------------
50,00 50,00 ,00
yij::;•, •• 1 t:t•t BUILT .:.'•??"!..!F{.I'?!-r 1 ION .1...: AVAILABLE A 1 THE COUNTY
UTILITIES 1)1:.1' (Ai 1"; I i"I F:. !`J i (456-3604)
CONTRACTOR OR APPLICANT .I.,`.:•' TO FIELD
1::.1...1::. 1+ f ! t t! I`•% f•'t !`d !_J POSITION -' SEWER El
LOCATE BURIED CABL
CALL BEFORE YOU DIG (4
THEY f..i ±'_; : t_ ±...1::. f•:1
„.
24
f•:{ N d %
TO
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PIPING, WATER LINES, ECT,
R TO
TO
? TO INSURE
....................
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