1992, 01-16 Permit: 91008306 Sewer SPOKANE 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
i"i.:'•..?-.?i::.{..: i N#..?#"i?::E::.R= 9-1008 306 i.:.. . #.. ':D PERMIT DATE= 01 /16/92 PAGE= 01
.ti..j.•}t:!i•;:•*;el:•jt:9!:**1+:)!:t!;}!;9*}i;•}i•;tr**.}(f}::1!:)t.!!.}i.j RERmIT INFORMATION *.,..!r*.y:.jh**:1.*.j,::1:.:1:.7f•il•h*7!•9h ft•:,...jt j:.)f•j•jt•:;,:ji.
[.'.• :::. STREET= ::.'%'; ,R PROGRESS RD ?�i••.i..E:::1... 1.::: .,....r':?.;. .. ._'rr:.........
EIr ,(L`.t l R l::.E s.. '• V E::..' -fr'..}f Y t...E. A1(:i; 99037
PERMIT +..?:•I::..... ,, ::.Ia?E?':: CONNECTION .... .i.E.E i..;M f•`•i?'•% MICA :<';j"v ":.;:y (9i -5:105)
.j[..}!i_... .'r E E NOTE 'F:}}:•/('
. : , .: PLAT Nh "CcVERA
BLOCK= '
i ZONE= f:.yi,zi"•`.i, %i ''..�.,r..._
AREA= ti:i'}t•.1;:1':;!;1;.1!.3 1-/A= F +h.I D i rv:::: DEPTH= R/;x=
•sa• :,." BI...?1#•:;ti.... 'I 0 ?.'4t3i::.i...;.....t`d!s,:r.... •# WATER DIET ....
OWNER= ROBERTS ROBERT PHONE=
STRED = 2414 E PROGRESS RD
, r.n 3•. .: E , , 99037
ADDRESS= %'.:.1'i,{:•i:i F Z# ,... #3.{r.#
ilt : » NAME= A r f . 1 : ( CORPORATION PHONE NUMBER= :09 536 0274
BUILDING SETBACKS : FRONT= N/A LEFT= N,'`(.:: RIGHT= :';i r(•a REAR= t.':#/:`!
;t:u7-}:-38?t7 i!!7'3+:4!7 iii•A7'1!7-}!;•}e;*•}ti*:(::`r t!!:ctli:J;.:J{.s,..}....,..:,i•j;*fiti .,!••I:#,.., ,.:,.. (' :!(..z(.:..::....:..:y,..;;..y,:.,..r)4�?=:�`r�!i�11r•4 iii:�lr�!i ,_...,:�1ti•Fi�Pi•P•ini:,:.�:r
......i r! Ji. j•.1! F - 1 1 j 1S }: ..
CONTRACTOR= i :+a 1•c CCORPORATION PHONE= 509 536 0274
STREET= PO BOX 13312
A t;^3 I•ti I_. tti ;::.. SPOKANE WA 99213
ITEM DESCRIPTION QUANTITY i-EE AMOUNT
PROCEEEING FEE 10,00
40,00
************K****************** i••;:.}.:m..�•� i EUmMARy 3G i!(•*1!r i$?+.. (..!(.*.jl,.y.:y(..},j*:,i Nt*7L•}L tai•}ti•Ai:y,.:J(..jtj*•}ti H
PAYMENT DATE i'i 1".:.:t::.t,I" v' PAYMENT AMOUNT
01 /16/92 336 50400
TOTAL DUE= 400 TOTAL PAID= 50 (:)0
PERMIT TYPE FEE AMOUNT AMOUNT i"r':'FF :r AMOUNT OWING
..3::.E,,I I::.I"•. PERMIT 50,00 50 ,00 400
50,00 50 00 00
i•:###.h•.`::.i::.?_1 ,1 Y : 1:J I"i I. i i?:l.?:;: i ROBIN
... ..PRINTED : "•.:...,,.i..,..„. ::'.'?.C.:,' ROBIN
:EWER STUB AE—BUILT INFORMATION IS A'ri_?.i.L..^iBL..... AT THE COUNTY
L. . :E:E...:E: r :E:r...... DEPARTMENT (456-7604)
CONTRACTOR O R APPLICANT
P"LE » "N , , TO FIELD
iELD LO ,A IA N ; CONFIRM TH#
ELEVATION AI'd?.? POSITION... ...i':? t-#;• SEWER STUB PRIOR TO ANY OTHER
il... .
EXCAVATION
TO LOCATE :4 E#R.i.E.t% c:A.:t E...i::.,.) GAS s�• E" .!.I ..N t,; WATER .....t.I+''t,:..:.; , ECT ,
:.:
n n -.1CALL BEFORE ORYOU 1.1.!.G (4,;1,....8000
r.;
BE
.�.r:.I:�?I::.!• ::. t #i ;�:: f•3 i';:I::. TO i:5 is:. CHECKED PRIOR IC) :#,?','�%I'+t i::i.: I .I.i_J N TO! ;.i'q :-t.ti'°;i::.
THAT I #"Ii::."s f•l i:I:: CLEAR
:t - f ; f 1 UNOBSTRUCTED i " SEWER MAIN
( i u {j1CALL : " INSPECTION PRIOR TO COVER : : 7( ' ' 3
I
.E,:t!...1}.*.1,..1?.$tr.1;:.11. :,.% itt.?:.?R NOTICE i:'E::.QU•I.. .Ei„J !''7:• !:*T-it?•1•T'lir*
7 8 ik :; § k; 456-3604 ; i3i } U G) P
R
t 1 R: 1 : rhi: i: : : : :h L i1l'.: } : : 91PL THANK i i_ ) 1 : i: : P: ii : r9t . j: * : f :rk y. : j: N: : (