1992, 04-13 Permit App: 92002426 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
PROJECT NUMBER= 92002426 APPLICATION
04/13/92 2 PAGE=01
PENALTIES WILL BE ASSESSED FOR I COMMENCING t3 ORK WITHOUT r`t PERMIT
SI??::. ::> MARIGOLD E!
I! J .,r..: b+E::i! ; DALE WA 992C''
PERMIT USE:-:= :EWER CONNECTION .... 'N E.RAC:RIES !
E'LAT4=
BLOCK=
OF. t:{1._!)?.v,k =
OWNER=
STREET,
ADDRESS=
001)71
B.
f
'It'
PARCH 0= 23544-2803
PLAT NAME= .DO ADD
LOT= :a ;h ZONE= UR -3,5 ?.%.l. :.> i .x.'. -
DWELLINGS= ! WATER DIS •T =
FLANTEN
1321 S MARIGOLD ET
i:'Iw.R AI.)AL i::. +Alf..t 9920) ,
CONTACT NAML:::: C::ouRC::l••! l:NE EXCAVATION
BUILDING SETBACKS: FRONT= i-:::: N• /A LEFT= == Nr ra
.. PERMIT
•n: •x: •x• •){- r: * A..H:• h: •i:• #• ii x •m; fi:. f;. a .k..�. �. R..�..p; x i�; •h:• •h: fi• •k � :• E:. IST E:. Et
CONTRACTOR= i;OUR(:'HA:i:Ni:: CONSTRUCTION
STREET= 1640 E:: VALLEYWAY
ADDRESS-- VE.RADf i..E: WA 99037
F
PHONE:: NUMBER= '.':,';:,'y 924
RIGHT= T N/A REAR= N/A
5485
•H• 9{• * * it * •hi • . fG iti P * .. •Hi .- . •R- * -Ai -Ai .){• •R•)?• .. * •Pi .P..bi -Ar .
ITEM DESCRIPTION € .UAN'f IT'i
PROCESSING FEE
SEWER CONNECTION
i
AMOUNT PAID
PERMIT TYPE
SEWER PERMIT
?' R 00 Et"SE:. D
PRINTED
EtY:
BY:
FEE AMOUNT
().:(
50.:00
ROBIN
ROBIN
DOMITROVICH,
I)C. MITE4l1i{ l:C. H,
.00
4„)tJ
PHONE=
t:^ 5485
FEE AMOUNT
10.00
40.00
AMOUNT OWING
50,00
50.00
SEWER STUB AS—BUILT .I.NI"ORMA 11.01( IS AVAILABLE AT
.. COUNTY
UTILITIES DEE'`ARTM'r. NNi i (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD ir:,fEFP) CONFIRM _ . .
ELEVATION AT:1:t114 i ND POSITION 1.11 SEWER STUB PRIOR TO ANY OTHER
E::X.C::AvAT:EON
TO LOCATE BURIED CABLES, _ - S PIPING, WATER LINES, ECT.T.
1 BEFORE YOU 1)1 <'3' 8'j ') i
CALL ...... t.' .'.1' ... tit:. 7 ...... DIG t • f ... { � .... i.. .i t ;.
SEWER STUBS ARE TO BE C'HEC'KED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO I-i'lt SEWER 1 $A11
CALL INSPECTION PRIOR TO COVER •x• * •H i!:.i': •u• •P: •,i * •:i•
it * x r• * r• fi• •x• ••x.• 24 HOUR NOT .1. t.: E REQUIRED ii• }i. it �t �r �r * ri•
.):
.. •){• )( •A: •Pi -Pi :?� fh i+• 456-3604
.jt. Pi :)k * P: •Hi •Ai •N• iti *
9 k R??i799it $Ni!9it Ji* t R)9N)*NiHFTHANK y -
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