1992, 04-29 Permit: 92002921 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/oomhmut/have oxammeum.o��m.vun»ouuuon ommmotmomm,mononoonmmoomxsubmitted agent n/ovomn/�uum permit /application is true
and and authorize Spokane County to permit/application,
In addition1 have readand understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to compwithsame.,All visions of laws and o�� governing type
�
hommo,nm /unuemmnommthe /oovu, mm/ �permit/applicationinspection Certificates of Ocshall not be construed to
give authority to violate or cancel th ns 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
OWNER OR AGENT
PROJECT NUMBER= 9200292i
APPLICATION
DATE
**************************** PEHMIT INFORMATION ****************************
*** �F
�i % RGBIE %T
}KANE WA 99206
PARCEL4= 3541-9044
EEWER CONNECTION - MIDILOME 6TH ADD - (92%-4)
'TE ***
PLAT4= 005026 PLAT NAME= MIDIL(
BLOCK- 3 LOT= 2
AREA= OOOOOOOO F/A= F WI
4 OF J:JLDG%= i 4 DWELLIN%= i
OWNER= ��E�Y INC
ETREET= i22i2 E %IOUX CI
ADDRE%E= %POKANE WA 992O6
CONTACT NAME= FRANK COBB
��ILDIN� ETBACK%: FRONT= N/A
125
PHONE= ...........44 9406
PHONE NUMBER= 5�9 993 O868
RIcHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= f.REMY INC
REET= i22i2 E IOuX CIR
ADDRE%%= %POKANE WA 99206
ITEM DE%CRIPTIGN
PHONE= 509 924 9406
PROCE%%ING FEE Y 10,00
%EWER CONNECTION i 40.00
******************************* pAYMENT %UMMARY ****************************
PRGCE
RECEIPT�
FEE AMOUNT
3Y' DGMITROVICH, RGBIN
BY DOMITROVICH, ROBIN
UTILITIEJ
TOTAL
AMOUNT PAID
-----------
50,00
AMOUNT OWIN;
------------
.O0
A% -BUILT INFORMATION I% AVAILABLE AT THE CGUNTy
EPA�T�ENT (456-3604>
AND PO
CALL BEFORE YOU
ICANT E
7IGN GF %EWE� %
%EWER ETUDE ARE TO BE
THAT THEY ARE CLEAR A
*********CALL FOR IN':
..~~
********* 456-
%T�UC
P�IGR
EQUIRED
AND CONFIRM THE
TO ANY OTHER
ISN TO T.NEURF
�ER MAIN
**********
**********
**********