HomeMy WebLinkAbout1992, 03-19 Permit: 92001641 Sewer_7 1.4:
SPOKANE COUNy Y 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 REOUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type o1 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 l regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction n
SIGNATURE t 1 l APPLICATION ? �� — 7*
OWNER OR AGENT ���lll...!!l a-%^� /� B DATE J
PROJECT iNL.JMBEi:R.:: 920010441 3:,_SUEI) PERMIT
DAZE'::' 03/19/9? F,I.it"' ') i
N:h}x..iii-k)i>ihi3Or.i.5i')ik)i)i')i'•::ni .x de:li..x: {:i:*: PERMIT LJP„ M `'T ! '8i:**1.A
SITE ST :c:TN - RD
ADDRESS= ;.i'{`OKANE WA 99206
PERMIT
EE•J_IS_:SEWER rCENECTic~BASIN (LII) 86-2
(92E--'2-
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S liE iii: NOTE 1 1 ii oi' r)
('I.-AT0= CONVR ( F L.AT NAME= CONVERTED C:NTY DATA
BLOCK= LOT= ZONE= I-JNK D.I.,`Y I ;::::
AREA= 00010290 F/A= i:' WIDTH= 147 P1 T;_=
IE OF YjI...D(r,`i'::_ 0 DWELLINGS= WATER DIST
OWNER= DICK EF
STREIET:=. 207 N IICDO
ADDRESS= SPOKANE WA .
L.1) 1'a
CONTACT NAME= ._1i4: II CONSTRUCTION
PHONE::::: 509 926 557'
$0
PHONE_
Bu:ELD:EN(i SETBACKS: FRONT= N/A i.E1=T:::: N/A RIGHT., N/A
...
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S TREE 'T =:
ADDRESS= ,SEM,'
ITEM
PROCESSING FEE
SEWER CONNECIION
QUANT I TY
3333 _........_................
PHONE= 902
E 1::1::. AMO
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*iE P))t'il'ltii"Il")l!ti':')th)'h))l'io-'h:i1'*)i'd:)df 9i'dVN)*41 $t{': 'F'1 YMENT SUMMARY ihlRY 'li''h. h'I"Il'h)'hi
10.00'
40,06
PAYMENT TATE_ RE:CE:I:PT0 PAYMENT AMOUNT
03/19/92 1865 30,00
TOTAL DUE., 00 TC11A1... PAID :::: ,t;:.':)i;
PERMIT TYPE FEE AMOUNT AMC:II_JNT PAID AMOUNT OwTNI-:
SEWER PERMIT 50^00 50:00
3.333_--'-'--'---m;t)50.00
-�. _3333.._ 3333._. 3333 .... ..... .............-'-----.......__...._....
.
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PROCESSED E'.'' DOMITRO
PRINTED I:+'i : :DOMI:TPO
:'EWER STUB
LIT IL.I TTES
ROBIN
is IiB1:N
INFORMATION IS AVAILABLE (
CONTRACTOR ORr=?..EC)1`)N'T :I:S TO FIELD I._OCATl:::"CitJ('I
ELEVATION AND ;'i_i,'?:E T :L Oi•,J i:1 SEE id{ "r 'Ttii: i'I(:i:OF; T i) (:)N'r (TT
li. xl:Avr;1 is c:N
TO LOCA -It :.
URIE
;rua
CAL..i... BEE tIR
GAS PIPING, WATER LINES,
-8'O0(:; )
:'i::LIF:F,' STUBS AE''C. ill BE CHECKED PRIOR TO CONN
114A1 1HEY ARE CU AR AND RUCTED 10 IHE
PRIOR ********0 CALL ,'I:;, INSPECTION .1 COVER '+
eonerenari- -OLE?NOTICE
(-iC{Fla,(1;6u
.......... ....e); )............ . :, ...
iP'R)tP:it'h:'AR)S P: 9t iP'P. 'P: 'lt'9P "P iY'k i'^`P �
is 8i THANK Y O11 •)t )i: )i.;:i. ih ii.
FR MAIN
11.31.31.31.ii: ii: i;.
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6077
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