1992, 02-19 Permit App: 92000877 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
PROJECT NUMBER= 92000877 APPLICATION DATE:: 02/19/92 'PAGE i.:?j
****•** THIS IS NOT A PERMIT *****•k.'
PENALTIES IWIL..L BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= .1 5: `Y E S i<YV I:E W A V E F'A R CE::i... :=:: 27543-0504
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONN.E::CTION. .... H'IIL..L_CF{E::ST (92S-'-99)
*** SEE NOTE ***
PL..t•iT4-: 003776 7r, PLAT NAME= I•il: ._L..VI:E"tJ ESTATES Ft E::F'i_.r~cT NOI
BLOCK= 1 LOT= 4 ZONE= AGSUBi DIST4== F
AREA= 00000000 F'/A= r JID H : �' t)E::ITH. F/W==
:;r OF M..DGS:::: i DWELLINGS= i WATER DIST _-
OWNER= GUIL..BA��UL_T, ROBERT D PHONE:= 509 },22 �3 %';
STREET= 12325 F SI YvIl:_L4 AVE
ADDRESS= SPOKANE WA 9t°2i16
CONTACT NAME.:-: �`IMPSOi SANITATION F'H ONI NUMBER= 509 t 926 4781
BUILDING SETBACKS : FRONT-: N/A LEFT= N/A RIGHT= N/A REAR= N/A
M••JC•H:ii••P::Y••P.••F.••P.••b•)t•N•*ik ik N:•R••P:•A•)¢Jk a•'F.•h't•R N•*3k* SEWER PERMIT ***************.x....****•R•A•it•M***•A:
C ,. SIMPSON SANITATION PHO' I...= 509 926 4781
STREET= 7812 E" .tAL..I)WIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING,+�IFEE:. •7j 10.00
SEWER CONNECTION I 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT_ .. 50.00 .00 50.00
7.j0 e 00 .,00 50.00
PROCESSED BY : DOMI.TFOVICH, ROBIN
PRINTED BY : t)C:IiMI:TROVICH , ROBIN
SEWER STUB AS-sti.Il:L..T INFORMATION IS AVAI.i...ABL._E:. AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS -ICJ FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-0000)
SEWER STURS ARE -ICJ BE CHECKED PRIOR IU CONNECTION TO INSUREi
THAT THEY ARE CLEAR LAND UNOBSTRUCTED TO THE SEWER MAIN
*1!>1A'R'**xi>{ CALL I••C?R INSPECTION F'R.._i:C TO COVER M:it•PL•A•A•k•9k h•*il•
* = •3t3t •*t* 24 HOUR NOTICE i"i. t.JI:RFJ) *r'iejr# -ii'*ii'
•N:*****$:** 456-3604 •74*'b:•F:-M.-P:.P:'74
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