1992, 05-29 Permit App: 92003825 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P R, ,,..+.. 1 NUMBER—- 92003825 APPLICATION DATE= 05/29. ':}''... ::,f.r....
•x•*)t• *:N: THIS 1. .'.:.: N O i A PERMIT f*)N}j j.*
PENALTIES WILL BF ASSESSED: .:. , p't,}R. COMMENCING WORK WITHOUT A PERMIT
PARrF1 :1- 28543-521i
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION .... SOUTH it.#i#r:{...#MO (92S-527)
.!,..j!;;F•.; SEE NOTE, i 1.. ,..,,..
Pirn . 00139'3
PLAT NAME= {O ;i..:M O T;.#Ixi i''' .}. j L:.
BLOCK= 53 LOT= 12 ZONE= UR 3.5 DIST4= F
AREA— 0000 0000,00 I••• 'A::. F WIDTH= DEPTH=
i..i:..
wwr PHONE=
STREET= 3005 UNIVERSITY :{.'
ADDRESS= SPOKANE WA 99206
+ .} : r::;..,..: NAME=
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WA
ITEM •1#v.:.i1 R , , I i y' QUANTITY :'#::.E AMOUNT
PPnCESSING FEE 10,00
SEWER CONNECTION 40,00
PERMIT TYPE FEE AMOUNT AMOUNT F •..t.#.i? AMOUNT OWING
SEWER '# % # # 50.00 .00 50.00
50.00
':' n,.. }»
.. ..0 0.. 50. 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
,.:!...v:+#:..#, ... # t,I I;i AS—BUILT INFORMATION is AVAILABLE AT THE#::. ..:(i1„1N ''f
UTIL111ES DEPARTMENT (456-3604 )
CONTRACTOR OR A :i.:#... -h-A : .#.:a »` #} FIELD}1LOCATE AND CONFIRM THE
ELEVATION ,•!''I� POSITION I i- SEWER t•?; , 1 :t 7•i PRIOR (,} !-V OTHER
EXCAVATION
LOCATE .�S l.7#�°;.#.#::.11 CABLES, l:r F�!::S PIPING , WATER LINES, ECT .
.CALL t-IBEFORE YOU D.1.#. ( 456-800 0)
SEWER STUBS ,..4 tS#::. TO' ?:;C:. CHECKED PRIOR TO
CONNECTION TO INSURE
# H3 A i. THEY AR# CLEAR
R At , UNOBSTRUCTED ( . THE SEWER MAIN
**; y. r*as CALL . FOR• INSPECTION ' „ � irTO _ . ' _R :n5 . id* #i.
:1
i
.j,. ` i HOUR
NOTICE REQUIRED .
.5
7 . . J `1 : t; ; ; !.;t:* ta:c:*:., !::c J :t }t tS a : *** THANK . ;s : ; : ytJ : : : j1r: : *: t : ;: k i . tJtiut.