1992, 04-16 Permit: 92001279 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, 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= 920.012? ISSUED PERMIT
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SITE STRE-:F
nDD E.:':`.
PERMIT
T
'4i..ii' P:
162.1 S i'.i.{'ll:..
SPOKANE 'iNE:. WA Y>
SEWER CONNECTION
TE ';•;.-..-.
DATE= 04/16/'9.2 PAGE_ ( -Y
PR 'P3i'3ret
********If***
PARC
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FARC LO= 754? -10:53
HIL_L.t:'r=,'EST '192E-156)
rL"T ,_ 001220 _FT NAME= "1 .:R CS
.ARK ADD
BLOCK= 4 i nT=
,G tJ "> ZONE= HG ''l iii LJ .L :S TO=
AREA= 00 09000 F/r :::: I:r WIDTH- ,'ti DEPTH= E'I_: 1 00
:
,� 1' WATER 4 4,::4_ :.. DIET
:, T
OF BLDGS- �. JL1La...1....Ef i..v ::. ::: pa c.!!I[. rf 1J.!. a: i :.:.
OIWINER=:L,_MIC:hilci_i...F:
STREET:. i = ::,1 S PINES RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TOM STONE EXCAVATION
F-HONE:c. 509 926 6144
i -HONE INLIMEiE-:P= 509
BUILDING SETBp'tS. FRONT= N/A LEFT=N/A RIGHT_ N/A REAR=
,r ;f 3c ie.tt..x..ri 3i 3i * 34 3i' 12: k 3i 3r 3i' ;i 3r tt y 7i. ai..u. ii..ri..yi..;i..y,; s :. :.. re pERmIl kH' :4' h: li' $i'A: )C :i' !4Y: ')'i A' ri' 3l"ni'Yi'7t )i.
7i'
CONTRACTOR- TOM STONE EXC,VnTaNG
STREET= PO :BOX 14154
ADD' E= SPOKANE i,jA 99214
PHONE':_ 5.9 r; 7710
P / W=
F7
:ETE:i-i DE2.:t::fttr'T1:ON QUANTITY FEE AMOUNT
--................................................4444._..---.................... _ 4.444
PROCESSING FE::E 10.00
SEWER CONNECTION i 40:.00
'ii',hi.;7id'y 3ev:Vyii.d@j�i*..yi.>i'3i 3i";03i'vi' 3* 4i'ii.:,i 9i 3i Ai 3i 4444,,:. :. .. .. .. ... .....4.3.3.3....
P'h.l?1!I'.. ,�.. i'I 'lilt,:/ ,t'reiefr�!@9e �n'ar ar'1':'m'Je'u�ni diii�'Yi'i4Y:�ii�df 3l7i: �h:. ii..7i'di i'.
•PA\HENT DATE: RECEIPT„ PAYMENT AMi111NT
04/16/?2 2759 0,00
TOTAL DUE= :.00 TOTAL PAID := '0.00
PERMIT TYPE FEE cd'1IIiiNT AMOUNT PAID °'' G
,44,44 ,
SEWER PERMIT 50,(J0 59.,00 ,05
PRICE:
P E:. IN
BY: DOMITRO'VI.CH
BY. i}CJMITRC1'+,•'.T.CP
50,00 , i)C; 00
ROBIN
ROBIN
SEWER STUB AS --BUILT INFORMATION IS A'vAIL.'BL..E: AT THE COUNTY
UTILITIES DEPARTMENT (456--i604)
CONTRACTOR OR APPLICANT TS TO P-:LE:L.r- L..OGATEi: ANi-; CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED ;= GAS PIPING, WATERLINES, ;CT.
CALL BEFORE
YOU I7.Lt= (456-8000)
SEWER STUBS ARE: TO BE CHECKED PRIOR TO CONNECTION TO INSURE::
Ti-IriT THEY ARE lEAAND't.iNOr,^.TRUCTED TO THE SEWER rl! IN
INSPECTION
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9f**K),:A**:yy 24 HOUR IVC? i :LCI::: REQUIRED A3e3 3**, 3i:#3i:3E
'Y:3i3ii,i#'di•3iika' 456-- 604 3***1i*3*3*3@i@3i
.............. .. Ti 1 44:4,:4
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