1992, 06-04 Permit: 92003131 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
?'`i't:i.)•..._..... ? .#t,?UMBER= 92003 "? ISSUED PERMIT DATF= 06/04/92
.... PAGE= 01
::.:,:..}j.:,r:,:.:(.:(.:j..}t 7!i).`_,:.j(.:i.7r; r;•je.?¢.1t••jk:}• ;•'1!j t$!ti 9t•}k j:. p,..!•:1"! ! INEORmATION *************************KK*
` i ! E STREET= -13303
. 1i'1.", F. WICK •E}t'. i:{.:!R .:••t..."'.::: 27541 -1709
ADDRESS= SPOKANE WA 99216
!'#::.#`M q,i,�.l:,=:: :�E:-::ii::.' •#+i ii' 'rI: ..1Y•t .... SOUTH BLAKE . ....... '•-ri.......
it'fi)1 ,.:•#.{::. ?4}t.) . E �t:)i..}i.... .. ....
PLATO=
, , _ j :1 { y ? PLAT NAME=
i"? . l3P at ` . ' i TERRACE
BLOCK= LOT= I ZUNL—
i.:`.. 00000000 'tea:::: F WIDTH= ... :•j{,• :";H:::: R/i;ti:::: :::it„)
0 OF t't# !1i 't••- WATER DIST ....
V s N F1I.i l F: , BILL PHONE=
STREET= `t . t;).' E WICK fA!`d{::.
ADDRESS= SPOKANE tett'! 99216
CONTACT NAME= H E CONSTRUCTION ' ^! N: NUMBER= ::" Y; i
8964
NLEFT=
BUILDING ,.r L:. I tt{•�!i.:?�.,:: : FRONT= .,; �••1 N:'A RIGHT= N!{=t REAR= j`;3:•'r
: ; j : g t t (j : : ( (* jisi.j..*31p : j : { jjjSEWER „ R"
s ? i i ian131 ; :jj P47 k Pii } 7 nuitF:i ? nk ni
CONTRACTOR= f CONSTRUCTION PHONE=f....... 509 926 L.! t.i::t.
STREET=EE = # i :s`? !` (:. ','t!i...i...f::.714ft!? AVE
{•`•'ts.rDRl::.':; .. SPOKANE U.iA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCE
NG
10,00
SEWER CONNECTION
:.; ;,`N N''d i t..•T•,.?.i.3 N`~' '? 40 'D
*:J.n :*x: : S ,na :: : :: P : i 4; 9L .}F..Et..}E.jtLAE ` I ! - SUMMARY GE 3 } jj : j} ijj / [: t t j: fijjjh }
PAYMENT DATE „ '+ :F: PAYMENT AMOUNT
06/04/92 4187 50.00
TOTAL DUE= .00
TOTAL
:,: , ,. ..... - 0
,..
...F !EMIT TYPE {::.E AMOUNT AMOUNT PAID AMOUNT .....i.NG
SEWER ;"! E t 50,00 50,00 .00
50.00 .,;,.j, t:}t:}
PROCESSED s Y' : t'O#"#I ! C':t.)'J #.t.:H , ROBIN
PRINTED I ::MT^' 't
O ' ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR
OR APPLICANT IF f FIELD LOCATE {"?!t t i CONFIRM THE
?::.
ELEVATION {„}N)-} POSITION OF EEWE!''•` STUB PRIOR TO ANY OTHER
EXCAVATION
! LOCATE:{ � ti C # # 1CABLES, a{ : PIPING , WATER . ee , ECT,
CALL BEFORE
YOU DIG (456-8000)
.•.
' ,,;: t AREBECHECKED i TOCONNECTION NSUi
;••to
THAT THEY {..f#"-:#::. CLEAR {•'?f�F ti UNOBSTRUCTED TO THE 1::.
COVER _ � Ai '
MAIN
****K**** : ? _ FOR INSPECTION `r ? � 11 !
'h:*j3-*ji#•j!:•ai**
.1- .t ) } ) 24 HOUR 5+...: .#.!.:... REQUIRED 9t v J 7 R•9t•9.1t'•tt•'.
*******K* 456-3604 :,x..N:****.:•1:
: F: j : : i1J : ) J : : : * t t: ? :J : 9 ) jF yjTHANK { _ _ } : i9 *! 1j1 :: ] : 1J } i} a71 } : : : j: : ) } :