1992, 11-30 Permit: 92010476 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303:6 ROADWAY 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 l 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 . NUMBER:::: 92010476
0.476
i6*4irdi'ir'ir is ie+i.isfi. ii 4;. ii 4***i6 i8 it***4***dHF)
ISSUED PERMIT DATE:= 11/10/92 PAGE= 01
I-'I:I'MIT INFORMATION ii'
SITE: STREET= 006 S MCDONA i) RD
ADDRESS= i>FOKr1fdc WA r9?i6
rer it it yr it yr er it it ii'ar is it er
PARCELO= 45222.0831
PERMIT LJSE= SEWER CONNECTION -- SOUTH BLAKE (92S -1177i
001840 FLAT NAME= DEP-TR,. 1--:354
184 LOT= _.411`JF.== FiCrE;`]. DT.:i1'.^:=
00000000 F.r/A=:: F WIDTH= DEPTH=
.
0 OF i1:1. ti(;.S=:: 'i �DWELLINGS=i WATER DIST ....
3WilER::1
UNKNOWN
306 S hiCDI NAt..0 RD
SPOK ANE. WA 99<. i
CONTACT NAME= 7 L. C CONSTRUCTION
BUILDING SETBACKS: FRONT=: N/A 1._[ 1'=T= N/A
PHONE= 000 OW.' . 0000
PHONE:: NLJMBER=
r,':i.GHT:::. N/A REAR= N
il'il'***il'il')t'it'--**'*'*4e*•.J*'il**ii'*i* i'*iril'il SEWER F'E:R11IT iiteu'ii..x.a.
CONTRA
TLC CONSTRUCTION
r:::T_:: 1 816 F 12TH AVE
SPOKANE W; 99216
ITEM DESCRIPTION
SING FEE
'r Wiii.R CONNECTION
QUANTITY
Y
PHONE,- yC':
F,: / W
*4*4*ii ie4*ii ii ie ii ie ri ii 4*4***n*is 4*
FEE AMOUNT
:li.'H'R"N'R'il'Y:ik'riR'R'it***il' A'** ii'4il'il il*'A*iE4'i*il PAyME::NT SLJMMAR( ir*****)Ei:iiir*
F} , c)0
':i :. 00
PAYMENT DATE. RECEIP T O PAYMENT AMOUNT
11/30/92 741 50,00
TOTAL.. DUE:::' .00 TOTAL PAID 0,.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
;SEWER PERMIT 50.00 50.00 .00
50400 5N9.:00 400
PROCESSED BY DOMITROVICH, ROSIN
PRINTED BY: DOMITRClt,•'1:CH, ROBIN
.... .
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