1992, 02-21 Permit App: 92000950 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P+'til!•..!Et.: t Nli!MER:::: 92000950 APPLICATION DA t E::::: 02/2i /92 ?''(.:!i,sE:::: e:,j•?
-u:3i,'i':*i•: THIS .t.S N J%i i A PERMIT *,,.•n:•ni i(-h:
PENALTIES t,,:.!.?...?... BE ASSESSED r-+..!?': !:+..!!"??"!::.?`...:.1.!`.!.x WORK WITHOUT t.:, PERMIT
, IT- STREET= 2309
30— , SK' G r ! T RD
F A i C E .4 : 28542-3817
ADDREEE= SPOKANE WA 99206
PERMIT USE=t::.:::: S 1 wi i'{ CONNECTION --• IJ!,I '+' I I'I„j i..! O (92E-118 )
•h:-N:* t.t l:.I... NOTE i.;i{•it
! L f.? (':1:c: 001393 PLAT ?".{..yMt•;•r... „[.t!,t.lj"i,i ? i,ti,;ii'-•tE.. . !::.
BLOCK= ? } LOT= I . ZONE= tY: lt ?. : R .
?..
rt{`.?::.t:+:::: !.!{;aicy0!:r4y0 !!'' �:: ;'F:�:::: WIDTH= DEPTH= r�;,'t,.t::::
:II: l.�` BI...1.ti:- '�:�: 9. I WE_ I....t l'N!:r,:::: 'i WATER
T! R DI.-,T
OWNER= WARWICK ), .f PHONE=
'.- ! !'t!::E ::.. 0K:.[I=°ir,i±!1 i T H RD
.,i.-T.!..,E4,S :: SPOKANE WA 99206
CONTACT NAME:::: .i r t::ONSTt• i,!t.: I I O!'? PHONE iNE N..�f 1!.:{ER : 509 ?:;3 ..t (1 ;
BUILDING v,t. 't` BA t : FRONT:: N/ALEFT=
, , ..•Tis+ RIGHT=i ::.. N/A . EA.' N/A
py # A P {h # Al %39ii : h 3 ! %Ni »sP ':7C % SEWER PF : " 11 % {k k Rk# t Nxk HPik 7 *x % C P *# %# k# Pk k
38 8717
CONTRACTOR= ,.. :kJ CONSTRUCTION fPHONE— t''
STREET= 2218 W
H AVE
tt).i!iRi::. },:,- SPOKANE WA 99205
ITEM DI::. }`.:I",1.t' i 1.c:N QUANTITY FEE AMOUNT
i'Rl iI is 'S 1;(JI FEE (' 10„00
SEWE?';, CONNECTION ! 40,00
PERMIT ! 7 'I "ttAMOUNT i " _+ NPAID ; MOUi ? OWING
E I.lA1?::.I'< PERMIT 50,00 .00 50 .00
r.:
PROCESSED BY : Dl.iN E. RO ICH , ROBIN
PRINTED I,N•i E4: B'';` : DOM-I. i R+OM 11:l••I, ROBIN
SEWER STUB AE—BUILT INFORMATION IE AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR c:I APPLICANT 1. • TO FIELD LOCATE AND CONFIRM j ? :.
ELEVATION ANDPOSITION .... SEWER STUB !'f:.!. . �! t�a. !'�?..
EXCAVATION
TO }
!...:.....A ? I.:. BURIED CABLES, GAS} I"'.!.P.?.N( , WATER LINES, ECT.
CALL BEFORE YOU D1:G (456-8000)
SEWER . (L1 ' ARE TO BYCHECKED? ( ,s5 ? '?'ti.!.(.i!'e TO CONNECTION ? f! ?.?`4S!..iR?:'.
THAT+ ! t t"tEY ARE CLEAR AND D _ ! tB } moU - . TO THE E ,:}!::.W?::R MAIN
1'.1 :!:•#i•N:**.x-* CALL :•-t,!(:; INSPECTION PRIOR TO COVER *-x ii..ri.:#:•i!:•x••#:i!•*
1 xaf * iii ; ; " !ti,- t
. _ , ; : REQUIRED 9'*).•***•r.•**}!-
:t.•r.:.:':'(.'i.::.:%+.:':. i':3i ..3:til:':i+-i »•»-*•!!•it ii i!-*i!-»•" P:i!'it- THANK 'j O U ii•i•*it.3 ii:-»•ik 9{•:y.':»•P-ii ii-»-»:.ii•»•..»•.it»-i':»•»•»'ir.»-i?--P: