1992, 07-23 Permit: 92005633 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 / APPLICATION OWNER OR AGENTle1144 -1DATE /� ^'
AG
PROJECT fiUM:' y= 92005633 I: U iPERMIT;` tDATE= ;
07/23/92 ''A:, t•
.. ,.yER,;.,...,.
'),i i+i h i++:Pi;+i +i i++i�Pi?i'9+i Hi i+t1 4k'ii•�Pr i�`i 9+i i'+i'A:•i[i?i'3i•iu.•i+i•Ni'Pt:i. i..:..t•t "t ! t ! fJ:•:;i•t':'#Ai i i N *.i,i:i,.*.ii..i}i'i}i iti•!4'i}i•Ai*'!+i-Hi +i'Pi hi r,i.i}..i+i ipi*'Fr ini'!+i +i i++i'Pi
.,. .I '%:;`is `•:' ::: t l;i v.),:t 1` ;,t^, ,.+vL... ,[p( I 's..... 45232,0210
A .i ' °:t:.E::. •• SPOKANE WA 99216
PERMIT USE— :;..tot t••!•_: CONNECTION .... D R Y LINE ....... ,' i
')t'*)1' EEE NOTE 't *'t4
PLATO=:n:= 00021 .. PLAT 1 t` A''";:.:::; BLAKE a. i N it`N SUB
BLOCK= ,.:: LOT=t ; .... :;J ZONE= UR t•t. 3., ..: 1 i i :y:::::
.._ t.,3;•, tK ,;, . .... t:. DWELLINGS= 't WATER DIST .... VERA
OWNER= JOHNSTON, BLAINE PHONE=NE= '.. 46 0600
STREET- 12325 E VALLEYWAY AVE
ADDRESS=........:.. '`?..IiC ANE WA 99216
CONTACT NAME— H :.> t.:t.3N::• t RUt.: t .3.t-iN LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= f'•?i'A LEFT= N,%g:{ RIGHT= t•j/;.:? REAR= ;;;::`;
i: ypii.i,. ihi? ' P1iis ; ii : E i hc) c Yh : - W :P . .P ^
sa Ar a niPc ) i 4 'hi'i+i•i+:} i iifiifiii• 'ik ?•
CONTRACTOR-s,.: 3 t.:3t;:::: . . _'?[ ,:: CONSTRUCTION PHONE= ::)t;i Y 926 8964
ETREET= 11817 t::. VALLEYWAY
ADDRESS= SPOKANE nit-? 99206
ITEM EM .t.)E.::i_•RlPTIi.l3N QUANTITY FEt::. AMOUNT
PROCESSING i':€::'E •`f 10,00
SEWER CONNECTION I 40 : 00
.... .. .... .. Y M i::
'i ?+::+i'1+i'i+r'?k i++i�)+.•iai•i+t}i iV 9+: i..i,..j:.j,;::,:;+[;9,:?t'�},.''h;�i[; ')+:•i+i�a:•;+;•'r.• k t••;�'•?Y t"t i;:.tx..;. 5 1..41"t t t t�'{;',..`#` :"i•K•i[; {.;i.:u..ii.:J,..ii..i,;s+:•i+:•i[i:'i•ik•it•*g{•'i,: +:•ii'i}:'h:•'ii
PAYMENT 3.1I"{ it.. t't.,:..:.:i....t.P ! '1=' PAYMENT AMOUNT
07/23/92 50t00
....
';TOTALtit't••UE i•'': TOTAL i-•.... 50,00
PERMIT i YFE #.. .. .. AMOUNT AMOUNT PAIDAMOUNT OWING
• ---
SEWER PERMIT 50.00
0i00 •i0 , 0 • 0
t•
50,00 50,00 :•0 0
PROCESSED 1:'` Dc:M.i....1 V3.t:i'•{ ROBIN
PRINTED •tat" : D t.!z i 3.! I•{O V I C M; ROBIN
SEWERSTUB AS—BUILT INFORMATION AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT
CONTRACTOR OR A t.:i....3.t.:F'3 f`? { ± t OFIELD LOCATE AND t.:i..i N .,`t ?- •i;-.
ELEVATION f#tai.'•.? POSITION Or—SEWER U B PRIOR ANY i-i
EXCAVATION
TO t } O :f..Y t i::. BURIED i.:(-Y 3a}...t::.:': ; t_r e ::> PIPING, WATER LINES, ECT,
CALL BEFORE Y1,li.? DIG (,4!)6-8000)
SEWER STUBS i.tt'S:• i•,Rt::. TO BE CHECKED PRIOR TO CONNECTION;i i.I INSURE
THAT t `iES ARE CLEAR AND UNOBSTRUCTED TO THE ?:� . MAIN
.1 t ,r s Jk Jt J CALL f't.i�; �.t•'?:::l"C:,t.: t .3.t_;t`•? PRIOR TO COVER *k********
J ) 114.....:..... ::::y HOUR .•.,_t tIC":. REQUIRED 9.). J`.).J. R 3t 9i•
*****K*** 456-3604 :l1.3i*'i.ii•P.•** .
.: 9Y ) .t7 : : t 9 9 ••!:,.:•+:�..:...:.R: : ?R: t : :* t ) R 9 : : THANK J' . t : i: : ] / i: :J1 ; } Vit JiJ : i. .: ` ) R) *N) i;