1992, 02-03 Permit App: 92000588 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
Ny.1303BROADWAY AVENUE
SPOKANE, WASHINGTON Q9260
(509)456'3675
1 certify that I have examined this permit/app I icati on, state that the info rmati on contained/ it and submittedu t to compilesaid permit/applivm/on/otmo
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NCTICE
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 thatthe issuance ofthis permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authorityto violate orcancel the provisionsofany state or local law regulating construction, oras a warranty of conformance with the provisions of any stateor local
laws regulating construction,
SIGNATURE OF APpucAT|ow
OWNER OR AGENT DATE
PRGJECT NUMBE�= 92OOO588 APPLICATION DATE= 02/�3/92 �A�E= Oi
CONTRACTO� O� APPLICA�T
******PERMIT
FIEL�
******
PENALTIE%
.... .... .... .... .... .... .... ... .... .... .... .... .... -----
WILL BE A%�E%%ED
.... .... .... .... .... .... --... .... ...
FOR
--.... .... .... .... ...
COMMENCIN�
.... .... .... .... .... ....
WGRK WITHOUT A PERMlT
.... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... ... .... ...
%ITE %TREET=
i6O4 % KELLER
RD
PARCEL�= 2754i—i... ...
i
ADDRE%%=
%POKANE WA 99216
� TO LOCATE �URIED
CABLE% �AJ
PERMIT U%E=
%EWER CONNECTION
— WOLFCRE%T
8)
*
NOT1::.-X-
�LAT�=
O0��OO PLAT
NAME=
UNKNOWN
PRIOR
BLGCK=
TO CONNECTIGN TG Jr
LOT=
ZGNE=
:%
A�%UB DI%T�= F
AREA=
TO T�E
F/A=
F WIDTH=
PRIGR
DWELLIN�%=
TO COVER
i
WATER DI%T =
O�NER=
�RAHAM, GPAL
P�ONE=
...
TREET=
i6�4 % KELLER
RD
ADDRE%%=
%POKANE WA 992i6
THANK
YOU
*****.... ***************************
CONTACT NAME=
T L C CON%TRUCTION
PHONE NUMBER= 5O9 927 676O
BUILDIN� %ETBACK%
FRONT= N/A
LEFT=
N/A
RI�HT= N/A REAR= N/A
*****************************
%EWER
PERMIT
******************************
CONTRACTO� O� APPLICA�T
I% TG
FIEL�
LOCATE
AND CO�FIR� T�E
ELEVATION AN� PO%ITION
OF %E�ER
�TU�
P�IO�
TO AN; OTHER
EXCAVATIO1--)
� TO LOCATE �URIED
CABLE% �AJ
PI�IN�
WATER
LINE% V., .1.
' ^
CALL BEFORE
%EWER %TUBE TO
BE CHECKED
PRIOR
TO CONNECTIGN TG Jr
THAT THEY ARE CLEAR
AND �NOB%TRUCTED
TO T�E
%EWER MAIN
********* CALL FGR
IN%PECTION
PRIGR
TO COVER
**********
********* 24
HOUR NOTICE
REQUIRED
**** it* *** It, *
*********
********************************
THANK
YOU
*****.... ***************************