1992, 06-02 Permit App: 92003935 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
- (509) 456-3675
I certdy that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said perm it/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
I-It..i,.lC:.l.; l NUMBER= t.... :,.:)ti[??Y;?JY
3i 3i 3E 3i' 3
'—Nal.—TIES WILL BE ASS
APPLICATION
STREET= 71 ,'. MC.'•DONAi..T'; RD
ADDRESS= ;:POKr1iNE WA 99216
I:::R'l'S:I:T I
3i 3E') Si:_f:: NO"IE
F'I._ATM,=
AREA=
(]F BUGS=
OWNER.:.
STREET=
ADDRESS=
IS NOT A PERMIT
FOR COMMENCING WORK WITHOUT A PERMIT
DATE-. 06/(:;)/92 PAr:F::':::
PARCE..L:::=
CONNECTION ... SOUTH BLAKE (92S-549)
000000 PLAT NAME=
I.. x A =::
4 DWELLINGS=
Ht I,,.1 E: I._{..., ,.IENNIC::1::: I
SPOKANE WA 9t,21.6
CONTACT NAME:= ALWAYS ACTIVE:
l'?(.i:El..DIN. SETBACKS: FRONT= N/A LEFT :::: i1:i't T=IGHT= N/A RF''R= N/A
UNKNOWN
s...
F 141D T l -I=:: DEP TH:=
1 WATER DIST ...
PHONE- 509 924
PHONE NUMBER=: 509 ,:-> 1 6500
3i' )i' 3i' 3i'b' 3i' 3
I_, OCF
P R I:
f. $ .x 3i..)i. 3i.
e-e'ii'3i'3i'3i'ri'3i3i'v$ ;: E:WER PERMIT
ALWAYS P'3CiJ.'VE
!Fd ::aii:"f::_ Ci BOX 141562
F:!TiT?I: I::.; S::: SPORo-'3NE WA 99214
ITEM DESCRIPTION
PROCESSING REE
SEWER CONNECTION
19::1;3 I T TYPE::
PERMIT
FEE:: AMOUNT
\'
00
BY: DOMITRO`.+ICH, ;:
Ii;Y: DOMI1'R.O'VICa'I, F
SEWER STUB AS -BUILT INFORMATION
UTILITIES DEPARTMENT (456-3604)
3i' 3i" ti
QUANTITY
l
CONTRACTOR OR APPLICANT I
ELEVATION ON AND POSITION OF
EXCAVATION
TO LOCATE BURIED CAM
CALL BEFORE Y(:'11 DTI, is
TO r
EWER
00
3i u' a: h: 3': i@ 34)a it 34)i 9r : Y. 3E3,33i 43 L33i 3*3* 3** 3i' h3
PHONE, 509 922
FEE AMOUNT
10.00
40,00
50.00
50. 00
IS AVAILABLE At fl -11 E: COUNTY
t:.LD LOCATE AND CONFIRM
ST't.i"l'? PRIOR TO ANY OTHi=.i4
(GAS PIPING,
—8000)
SEWER STUBS ARE TO T:,i:: CHECKED F
THAT I'1ti-Y ARE CLEAR AND IiNO(i;:'TR
3E)')ipltgit;t p, CALL FOR INSPECTION P
Xj&diji3tk,t,td`. 24 HOUR NOTICE REI
3i 333i3i:u.3E3t..;;.3E 456--3604
WATER LINES, E:CT,
TO C:0ili'4El
7O THE.
TO COVER
TION 'I(:) INSURE
itttiiEP h1ri1iN
3E 3+1 * 3:3i 3i' 3( ii' )i )t
***P******
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..... ..
3pr sdE di333:3*ie*****) -THANK Y LJ *******• r :, e. 3E3d3i3nat Vn x h