1992, 03-16 Permit App: 92001539 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
PROUECT NUMBER= 92001539 ApPiTcATION DATE— 03/16/92 PAGE= 01
PENALTIES L ,l FOR 3:COMMENCING N WliR WITHOUT
PARCELO= 20543-33-16
ADDRESS= SPOKANE WA A 2+.J(::
P1::.I''•.M.I. t t,::I::. r. SEWER CONNECTION .... SOUTH ..t..FK t..tMO ( 92E-203)
K** SEE NOTE
:••., .. w•a 001393 NAME= ... ,_ ,
i•.I i il.ic`:::: ..::: LO = ``s ON3•�'••- i'i�`�:.".'`. _% I ;:,..s.:; ..
,•.'#.;1`•J?;!#._'k:P.) •t j• 'f:•t::. F WIDTH= DEPTH=."1:.. . ..
OWNER- :j i t !''i F N i! 1 PHONE-
STREET-
::1..11...#rNt, ..
ADDRESS- SPOKANE WA 99206
CONTACT )6 •; — ALWAYS . .... ... .... .... .0ON SLOAN PHONE '%U .... 509 922 0500
BUILDING`' •' :•1::. 15 At.:I#•.::: : FRONT= N/ALEFT= N/A RIGHT= /A REAR= N/A
'P:i+!:'P:•f!.•!#:9#:9k !.**.%#;,!:•J+•;!i••P::R..1+::#!••!!i:#k*a•Fi:k•Pr•Ai Jl.j!..#.. Si...tJ;i:;'-s-:.; pERmIT 3 )3.)I '3 .. )1 )14 +i*:)F..)+:'P.-i>.-'!+::k:k;yr;yi::f.::r.,;.k.!r:k*;,:r'. .. .. ..
CONTRACTOR= F-iL..w:if is•I ::i ACTIVE PHONE= 509 .... ... 0500
c—FREET—
... PO BOX 14-1562
ADDRESS= SPOKANE WA 99214
:..M ,).'ist IN li if:I1 N... .} .E!: t''ti
SEWER CONNECTION 40,00
PERMIT TYP .. FEE t_ Flt!`i I».1 1_, •! AMOUNT PAID AMOUNT O i:. .... ....
SEWER PERMIT 50, 00 . 00 50, 00
50,00 . 00 50 .00
! ,• t.: 3 : Ij:{r H :t;i.t
1::'R NTE I::.'1 :8"y" . DOM_.T R0`.:/.I.i I"# 1''•.t.;1 IN
STUB AS UTi T
,v DEPARTMENT
,,.. .•i •,
r i :.
t . i t'+J tR i{#..: I t. R OR APPLICANT I.` TO I i D LOCATE AND !!:'?_' ''
ELEVATION AND POSITION OF i• i1,1; i TO ;N' OTHER
i'
EXCAVATION
'..t..t. iit')
TO LOCATE ..;;y•, ,A: PIPING , WATER LINES , :
CALL BEFORE YOU DIG ( 456-0000)
SEWER STUBS ARE TO BE
CHECKED PRIOR CONNECTION INSURE
THAT
THEY (,;:t.;;.. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
II )
: P :9 %
p; :
FOR INSPECTION
1,. .'.1 P 3 :I•t..i.iR TO COVER !: +i;+i*'N:'..'Pr•1!i')':i.
:.:::....... .. 4 HOUR NOTICE REQUIRED
,„.: :r..- a :.: :J:•..„ ::5JK:: ia :) : } : ) ) ,!.: : Phf ? rTHANK. - .