1992, 02-21 Permit: 92000493 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/oomfymut/hvv*oxummoum/op*m/vxpnnounon.ommmat,:om,o,munonoontamoomnunxou»m/xouo/moonnvagenno:ompnoovmpermit/application /otmo
and correct, and authorize Spokane County to proceedwnhvrovmmmo In additionhave 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= 92000493 ISSUED PERMIT
AI..;E= Oi
**************************** PERMIT INFORMATION ****************************
SITE El. 171.!...S MCCABE RD PARCEL4= 2754i-1512
RE%%
ADD= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - WOLFCRE%T (92%-48)
*** SEE NOTE ***
PLAT4= 001841 PLAT NAME= OPPORTUNITY TERRACE
BLOCK= i LOT= 12 ZONE= AG%UB DI%TO=
AREA= F/A= F WIDTH= DEPTH=
0 OF
_AREA= i 0 DWELLINGS= i WATER DIST =
OWNER= NEL%E'
%TREET= i715 % MCCABE RD
ADM., E= SPOKANE WA 99206
CONTACT NAME= T L C CONSTRUCTION
PHONE=
R/W=
PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 12TH AVE
ADDRESS= %POKANE WA 99216
ITEM DESCRIPTION
QUANTITY
PROCE%%ING FEE
SEUL R CONNECTION
PHONE= 509 927 6760
FEE AMOUNT
10,00
i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE
O2/2i/92
TOTAL DUE=
PERMIT TYPE
--------------- SEWER PERMIT
PERMIT
PROCE%
PRIN
RECEIPTO PAYMENT AMOUNT
1110 50.00
TOTAL PAID= PAID= 5OO
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------
50.00 50.00 5O.00 .00
----------- ------------
50.00 50,00 5O.0O .00
BY: DOMITROVICH, ROBIN
BY: DOMITRGVICH, ROBIN
EE WER STUB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
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ARE TO BE
ARE CLEAR A
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GR TG ANY OTHER
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|ER MAIN
**********
**********
**********
456-36O4
******************************** THANK YOU *********************************