1992, 04-17 Permit App: 92002599 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= 92002599 APPLICATION DATE= 04/17/92 PAGE= 01
*e:**** Ty';,':-,_ IE NOT t-1 PERMIT f-ft'l'9?'fi'ft-
PENALTIES WILL is; 'r:{; FOR-I!' :O";'1. di:::N WORK WITHOUT A PERMIT
SITE STREET= ! ..) ! 3 :.i %ii•t i u`'f-':.!`•.E J. i... D .'i"!."•.....::.:..... 21543-9213
ADDRESS= EPOKANE WA 99206
PERMIT i..t.•t::.:::: .#::.tat?::..; CONNECTION I :lN ... OLD ORCHARD (92E-365)
f(.!?'it SEE; NOTE sr a,.};.
PLATO= 001827 I"L..A ! NAME= OLD ORCHARD SUB .r ._.- ...
! OF -i ; YE. ' 4
DWELLINGS= WATER DIET .... .t.? ..#:'•?
z -.
I OWNER= I:i) ARTHURt t` ... -inti ` ? +i,i?'+1E • ... .. . ..'s -..i:: t ...
: }
STREET= 1509 . E
!::ill i UNIVERSITY -
i�
i ADDRESS= :... ..1KAN.... WA 99206
CONTACT NAME= K . C. CONSTRUCTION
:i ' : R, i • CiK CO. PHONE NUMBER= %
( ; : - }°
BUILDING :? r ,: K _ • FRONT= N/A � �� N/A RIGHT= N/A REAR= 'i
1
***********K**)*************** ********************* ******K*
1 CONTRACTOR= K .C. CONSTRUCTION CO. PHONE= 208 765 3909
1 STREET= P,O. BOX 1455
ADDRESS= HAYDEN LAKE ID 83835
1
ITEM DESCRIPTION QUANTITY ...E............................AMOUNT
. PROCESSING FEE Y 10 ,00
, SEWER CONNECTION i 40,00
PERMIT TYPE FEE t..i•:?t?I r•? ! AMOUNT r:''1IAMOUNT OWING
SEWER
.'! -
'•EWE:R #..t::.f'•.#"?I. ? ..>t":,{rc:, ,00 .rt:}:.t'}'?
50.00 ,.00 50.00
I PROCESSED t't.r DIM:. R.t.i1•'.i.CH , RO
BIN
PRINTED ,f I,:t,I!1 I. ? ?:;c:i': .t.I-,f I, Oi l:t I N
SEWER S TUB f'a:::....t:fi..!.i. INFORMATION .I s AVAILABLE AT THE COUNTY
Y
I : D t^P'A i'•:.? ?"i iv.N ? _. j4.« ... ...... 0 4)
CONTRACTOR
O - i:COR O: APPLICANT
P "LI _ "N I { T O FIELD
, ED Ol " iE
t
N D CONFIRM THE
I::.
ELEVATION AND! :•'•• SEWER STUB PRIOR 2 i_ t::?'d"s OTHER
EXCAVATION
, TO LOCATE BURIED it BLES, v Ea'" _.f'`.?.r'i i' WATER LINES, ECT.
i..:..?...#.., BEFORE YOU 4.).?.i, (456....800k:J)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
:..,
THAT THEY f•�t?•.I::. t:!._!::.t•a?•t f-t?v D :.!t`7?tl t:t ! !.t.l t..: ? I:::i) t't "'}-I i::• SEWER `r'?t•`•-t.%'fv
S f'.'i!r:1$-}+r f r**f!i CALL i-I t i' INSPECTION I'`P21#"; TO t 11_:'tV'i:,a:, =Pi**-}z:*ilii In:-Ai**
5 " ) )i-i!:?!:.t ft7`. 24 HOUR NOTICE REQUIRED....y!..-,„ 5 )1)r')r 1 art*.9t 15:!t
.... .. 456-3604 .n.
�._..Vit..j { .: U ; 1lsst **' : : i } 5a.,.} tr .a . I . THANK r -..... .......:15':":15' j*i : * . *: *: yt"
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