1992, 08-04 Permit: 92005805 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
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1''i' i.�,Jt::.k.: ? NUMBER=::: ::..':%°.:>::`8l'_.r.; ISSUED PERMIT DATE= 08/04/92 9.,.. .`f-iks i:.::.. 09
3333...... ti ,•T I.• _'.
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SITE
fsE k - 4 _Er- 13620 E 3RD ! 4 - _ Y" :: ? e : 45221 .9179
ADDRESS= SPOKANE WA 99216
PERMIT USE:: SEWER CONNECTION — SOUTH BLAKE (925-760 )
*A:?P: ri E E: NOTE **P:
T :: 999999 PLAT N, ' r : RANGE
BLOCK= _ » C • ZONE= UR-3.5 .._. .?. �• I r•_» ?..
AREA= 000001}00 I• f`•?:::: r- WIDTH= SiDEPTH=Ei::. I• ,/I; = 0
0 OFr L..T%ixSc:: 1 a: DWELLINGS= i WATER DIS =
OWNER= CONE , DALE PHONE=
STREET=RE:ET= 1 3C)."' I::. 3RD 99216 t`.Df•"t'�`;:::
ADDRESS= SPOKANE WA 7.92 ? 6
CONTACT NAME=
AME= IS CONSTRUCTION NUMBER= 509 : : „
2964
BUILDINGSETBACKS : FRONT : N/A LEFT- N/A RIGHT= N/A REAR : N/A
•b:• :*3*•iix****•*•3••*fit•ki•it***•'n:•it••h:ii••ri : ** SEWER � E �7 ? �ax e.n N* r
u*** k iiai*uri nhiwiE hhtd
CONTRACTOR= t-I S CONSTRUCTION TKUi TION PHf:!Ni=::: " r ;: 9r-4
STREET= 11817`�i::. V,.i.»i_.r Y�WA`f AVE .. .:
ADDRESS= SPOKANE WA 99206
ITEM %t : CRiiTaON QUANTITY FEE AMOUNT
PEOCESQINcFEE
Y 10.00
SEWER. CONNECTION 40.00
x xn iH ri* k**ui x***u*rax n*iN *rikkTPAYMENT SUMMARY {k Rk H* {AA fi ( t JAPk Hi4iA) 7Aiie A
PAYMENT DATE RECEIPT::: PAYMENT AMOUNT
08/04/92 6116 50.00
.Vi e!v
TOTAL. DUE= . :.:,0 TOTAL... PAID=
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
�
,� I'F.I,I E: PERMIT _?ty,0a) 50.00 .00
.._..__._»...._.._.__...-_3333__-- ....._._..
50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN+�}
BY :PRINTED : DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION Is AVAILABLE AT THECOUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTORSOR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER STIP PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES ,, CTAS PIPING, WATER LINES, ECT.,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE:: TO BE• CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE. CLEAR AND L NOBSTRL.Ii.:Ti:D TO THE ST::.WI"..I. MAIN
p t x 3** r nnh CALL FO t INSPECTION FE , rt TO COVER i u*rir* ia r u
**3 **W*** 4 HOUR NOTICE REQUIRED
3t•9EP•}E*9•lki!•1:•Y-
.1=:N:•ri:**ai*iG* 456-3604 3*.......,1.:x..u..y,..„.
*ir*, + t3iirt rr rn»*xrn** r xr** t r** THANK YOti *** r) i3iE**rF Hyr*pui *» q: *ap
+ *At +