1992, 01-28 Permit App: 92000477 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
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, 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- 920004 77
APPLICATICiIN DATE= 01/28/92 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES W:I:I...i... BE ASSESSED FOR COMMENCING WORK. WITHOUT A PERMIT
SITE STREET= 1721 5 MCDONALI) RI) F'ARCEL..4= 27541-4919
ADDRESS::.. SPOKANE WA 99216
PERMIT USE= 'EWER CONNECTION .... OPPORTUNITY TERRACE 48801 -•• (92S-43)
*** SEE NOTE ***
PL..AT4= 001 842 FLAT NAME= OPPORTUNITY TERRACE 1sT ADD
BLOCK= 5 LOT= 19 ZONE= AGSLIB DIET -t= F
AREA= 00000000 F/A=: F WIDTH- DEPTH= R°/W=
OF A:ti...D(xS= i b DWELLINGS= 1 WATER DIST
OWNER= HOL._LINGSWORTI••I, NANCY
STREET= 1721 S MCDONALD RD
ADDRESS= SPOKANE WA 99216
PHONE= 509 447 5745
CONTACT NAME= NANCY HOL..LINGSWORTH PHONE NUMBER= 509 447 5745
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
}i..h. 4k 1*.:p: * * *.k .}i .k..h..x... ..k. * yi..#..p:..}i. * ii * -r: * li• t: SEWER PERMIT N:i[•iE3i•i+:N:.h..*..p_.k..yi..h..A..h:•H:ii•is•ii>~*ii•*u**i;:.A.. :M.
CONTRACTOR= OWNER PHONE=
]:TEM I)E:SCRIPTION QUANTITY FEE: AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.107
PERMIT TYPE HE AMOUNT AMOUNT PAID AMOUNT OWING
-------------
SEWER PERMIT 50.00 .00 50.00
50.00
.00 50.00
PROCESSED BY: DOM:I:'T•ROVIC i , ROBIN
PRINTED BY: DOiMl:TR:C:IV'IC::I•I, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THF: COUNTY
UTILITIES DEF'ARTMl_.NT (456-3604)
CONTRACTOR OR APPLICANT ]:S TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB F'RIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL.. BEFORE YOU DIG (456-8000)
SEWER STUBS ARE:: TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY tiRE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
* *.****.i;... CAI...i... FOR INSPECTION PRIOR TO COVER •b:-**•**:*****
******** : 24 HOUR NOTICE
REQUIRED ****K*****
.nxnrrKii�!cr.3644 pA***nhxna
c ,an:P Y 7 * # K t R ** *i)kMpNi7?l i?Ak RiTHANK Y J * # t * * * * k * i * * +rx i,n xx.. a * e
* * * t ?* * in