1992, 04-15 Permit: 92000477 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 t0 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, 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= 92000477 ISSUED PERMIT
)e.)i. %.ti. )* -- 8i k 34 3i' 3434 34 3i 34 ii )i
h:aiai' PERMIT INFORMATION
DATErt 041 45192 PAGE --
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S I TE STREET= 1 721 S MCDONAL..D RD PARCELO
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- OPPORTUNITY TERRACE OF38 )i _.. (92E-43)
#3i* SEE NOTE s**
PLATO= 001 847 PLAT NAME= OPPORTUNITY TERRACE i S-( ADD
BLOCK= 5 LOT= 19 ZONE.- AI.SUB DIE
U.
AREA= 000000 00 F/A= F WIDTH=:: DEPTH,
i OF BLDGS'= 1 t DWELLING, :;:= 1 - WATER DIST =_
OWNER= HOLLINGSWORTH, NANCY PHONE= 509 447 574`>
STREET= 1 721 S MCDONALD RD
ADDRESS= SPOKANE WA 9921
CONTACT NAME= NANCY HOLI...INGSWORTH PHONE NUMBER= 509 447 5' r-
BUI:L-DING SETBACKS: FRONT== N/A LEFT= N/A RIGHT= N/A REAR= t4 fl
*************************X*** SEWER PERMIT .ii..D...h..)I"it'Yt..)i'.A'll it')r34*)tft'il")l")t"li'Yl'il' 34'li ')i.) )t'D: 'D:h
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE:: AMOUNT
PROCESSING FE:.E:. Y 10.00
SEWER CONNECTION 40.00
it*********************** PAYMENT SUMMARY *********k****************
PAYMENT DATIE. RECEIPTPAYMENT MOUNT
04/15»'92 2729 `0,00
TOTAL DUE= .00 TOTAL PAID= 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50400 50,00 400
50,00 50,00 :00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROV.ICH, ROBIN
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (4.56--3604)
CONTRACTOR OR APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION [ON OF- SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO L.1:)CtAfEE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEF(:: F YOU D:[(: (456-8000)
80;001
SEWER ETU_
THAT THEY
***on**
X********
ARE:: TO BE CHECI<ED PRIOR TO CONNECTION TO I:NE(JRF-
ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
CALL FOR INSPECTION PRIOR r. COVER A 43R3kRAR1
:4 HOUR "TTICE REQUIRED i3rirr rlrY r
45 -3604 34..N.. y343e3i3i3iA
R}34 i*3111 )4 ii 3jr,' 34)e 3 ***9i'* :-di ii)Nita*-)
(HANK YOU *":3*):
* 3r di.4E 3@ 9i .)e-x..:,E 3i..)r.ii. * * 3e 3i 3i * **4h****