1992, 01-29 Permit App: 92000493 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT
i { il.... NUMBER= 92000493
APPLICATION
DATE= 01/29/92 PAGE= ;-% .
.(-.i a(•.(• * i;- • t HIS N C i f 1
ih t.`"{T : r »
PENALTIES WILL �iASSESSED :!"":y;i', WORK WITHOUT !-'t PERMIT
:::'1:•-i•E STREET= 1715 i" ii::i::::f''AT:5i..: i1,:)
ADDRESS= 'r:: .`:'rP{._Ii fAtNE Wir''ti 92O
's t=:
PERMIT i.._) E :: SEWER c:: i,. i 1 •'! ry �.• TION i�E ! i i... t I:: i't'. i : y -s.
.�:•'».•* SEE NOTE -**
PLATO= ( i ) •i 8 4 'i PLAT NAME=
AREA=
OF Thi...i:)ix,.•>:::: ; :M: DWELLINGS=
N E:: l..:' E i �i
1715 j"i!.,1 tAr B:t is RD
SPOKANE lel fAl i
PARCELO= 27541-1512
l;ir is ORTUN.i: i•Y_i.i:::R'P.f;+i-
.,r.....
ZONE= AGEUB
F
WIDTH= T)(::F::_i•l.1:::: E..' 1:,1=
1 WATER DIET -...
AY -ICT i!f"%iii::::::: j L. i., is:c:INSiF u€:"i';:c:N
': U i '... DING i 4l ; '" i:': T :" r:a • . i : , FRONT,. " i ' s' __ i 1 /' (1 i... E- E' T irk ; f`t
r{t t t t, i, t.i v ....
•»: 3k •»: -»: •»:.»..1!. 94 .Ni.+i .P..p:.H .)t.:»: -1C 1+i -h:•.[- N:•.k.!• N'r.+i •i?•.1 .t•.+: * SEWER
CONSTRUCTION
CONTRACTOR= 1 i._i" ETPF7T- 43816 E 12TH AVE
ITEM DESCRIPTION ..
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE
....................................................
SEWER PERMIT
PROCES
PRINT
FEE AMOUNT
B ''( : I,J1..)1"1.E ! F 1_t'`ti .i.+.•t'1
i'B,r:. MMITF iti is s i i ,
PHONE NUM .7.R= 509 927 6760
RIGHT= N/A REA
.(- Ai -it * ...:3(..(- .r. 'R• -Ur .+:.......+i * .. * ..k •F• .. -P: * -}t 9t. * •R• .
QUANTITY
PHONE= 509 927 6760
FEE AMOUNT
10,00
40.00
fiM i:::i iiii T• {iiai.i.Nt:.
ii.0,30%
50.00
SEWER STUB AS—BUILT INFORMATION :• AVAILABLE
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
::. t. i::. r A + .i. t.f f Q POSITION O SEWER S I_i rc r t..1. t_i i ; 1•`•t NY 111 1-1 is R
AT i i i•fis COUNTY
.. .
APPLICANT .1.,: t ..? FIELD LOCATE AND % Ct.!it: i•?,t`'! THE
....
TO LOCATE
Crii...i... i'Si::.i" {..1i
SEWER
THAT THEY
1;51,•3
+..:fi.:j...?_:.` trft,• PIPING, WATER .....1.!?t::.S'::.7..,.i.
,:: ARE E: t l.I BE I_, H E:. t.: i'•. F Ti PRIOR TO CON?
r•'% R E CLEAR r -t l 4 i_, UNOBSTRUCTED TO 1 : ;..i i-.
CALL FOR INSPECTION PRIOR TO COVE
::A•• -33.{1..11": NOTICE REQUIRED
(!:3::.l)
456-3604
CTION TO INSURE
SEWER MAIN
44....3'. .+: -R• .+:. * •li.
.... : 4': 4' • .4' . ................... ............................. THANK
you .... ...... ... ............... .
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