1992, 03-18 Permit App: 92001642 Sewer 41
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
Ppc,.;E::.t.: :`• NUMBER= 92001642 AI•'`PL1C,A'i•IOrI DATE'_••.. 03/i . 2 PAGE= 01
..,..a..,..Vit:•++;1' THIS IS NOT A PERMIT
**K***
PENALTIES WILL BE ASSESSED {"O±", COMMENCING WORK W.±. { ±•IOU { A PERMIT
SITE SE E":i::.i::. ? = 627 ,:: :s{..7i''?'tiERL("•tt!.? RD f''ARCEI...;!._.. 20542-133S
ADDRESS= SPOKANE WA 99206
PERMIT
„ SE SEWER.. is::C:I NEC::T:r.. ULID 08802 (92S-22i )
PLATO= :;,6 E3 PLAT N i i—i .= KELLOGG PARK SUB
J
AREA= 00000000 t.,:d E•• / t.y:::: i' WIDTH= DEPTH=H= R
,�• E E'z:E::.::. { .... ::".7 :.; :.:,..)i x%$i::.i^•:i...A``t!,t-! ?•{
ADDRESS= SPOKANE WA 99206
CONTACT NAME= EIMIPEON SANITATION PHONE NUMBER=BE::.R= –;'.:)'? 926 4701
r
BUILDING.t.N+., :::E::. `s 1:TACKS . FRONT=... N/f• LEFT== t'• A RIGHT= N/A REAR= NSA
K**************** * ********* >lWEy PERMIT 7+.. t : jM i+:.i:+:.* jtdl ** }:j.:yi: **i *:: t: j . :
: : : E ;:A..I,, t:.tE::. ,.... :.!"! ,. SSANITATION L..
: .E.1`•7 xs t/
PHONE= 509 . . . 478.1
p . ': : cy, Di.{
ADD _ •
S'1::=.....ANI::. WA 99212
ITEM DESCRIPTION QUANTITY L.{..{.. AMOUNT
00
SEWERCONNECTION t 'y,y ,;,70
.........+. TYPE ?-'±::.s:. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 ... .. ..t::)+„f
50.00 .,;.)t•d 50. 00
PROCESSEDBY1 t 711'-'E ' R?2.. t {-l.• ROBIN
PRINTED i 5; : 7 i..;±"E.{. i !':_..;„ I,..:H ROBIN
,::i::,s;)i::.?”: STUB l.1B t•-;S....B!?.i.±... ? INFORMATION IS ta:rb•'{......(•?..?....?:: AT THE UTILITIES DEPARTMENT ( 456-3604)
COUNTY
t , : r•t . ± ;i ( r
"O' ? ;iiC ! R OR f:f ,IIC, rN ! ^ : •T: i ? . , IOQ ;� .C NE-- O- tHE
t,_1 1:- 5A1 : fN :i{ :t ? tti + 1. L ? U?' ? U Awl iIHrH
E::.t'0.:to`b`;:a ! , E•J
TO L..O i.A t E BURIED CABLES, i,•.{'t S PIPING , Exit-'{ :R LINES , .::.E..: I ..
CALL BEFORE YOU DI(; (456-8000)
-8?fitE)c))
SEWER
I .I , : 1 _ {f :RETO i iCHECKED S ,. !°
Oliu? E : ft } TO
.
P : t ! 4
THAT
THEY 'E CLEAR AND UNOBSTRUCTED { „ THE SEWER MAIN
I*1tiFL : 4P CALL – INSPECTION PRIOR TC NEI
-P 1 1 P *lttf)!:'n:p )t:
1`,'is 9.•**yd.:7,:*:d. ;.4 i..1 l U?"e NOTICE REQUIRED 9t J`iti 9'•tt iR.j;.t;.j;.j;.
'3ti i!!i +i�l+i�1'r�dt:'7Y hi}k .._ 456-3604 3!i'Pr:h:'Pi:'i'7?•:+!:7!::-+i•.+i•
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THANK?,.t::, R.f{..: ..dt 7. 7...).:..,:. .it 3. :.