1992, 03-30 Permit: 91004448 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 th 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 1 / / APPLICATION
OWNER OR AGENT 'L.�. _ i/ _ -. DATE 3— Z5
PROJECT NUMBER= 91004448 :;LU..D PERMIT DATE= 03/30/92 PAGE= 01
94 9?• •)k 9?•9t R- -i?••t{• {•Jt••}?•*ih 7k 9S)?•'•'tf•*9±-ii•i{1!-it 9k P' PERMIT .L t Y i"O!'l!"!A I :EON ********************** • *K•fi
SITE f EK E:'E:.T:::: 13009 E:. 4TH H A b'E:. E''Aa i•k!.:E:.I... _.. '..?.2542-082.9
ADDRESS= SPOKANE
PERMIT USE= SEWER CONNECTION — 8801
x ;A SEE NOTE rA •*
PLATO= 001840 PLAT !DAME:::: OFF'. i•R: 1 -354
BLOCK= I...!.! I = ZONE= A-Y!,S!,B ... .,.,::• I s:::::
A•7R.::.A.y= 0000 0000 I../F.3:::: t.. WIDTH= DEPTH= !•t: '.;,i
EQF BISw • NDWELLINGS= WATER ! I
ET .^..:
fjWNER::: LEWIS, PAUL PHONE=
STREET= -1 ,'!00Vii' r 4TH AVE
ADDRESS= SP 99216
CONTACT NAME= ! AANDERTON PHONE t "BER= 509
?, '22 4594
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= A PLUS CONSTRUCTION PHONE= 509 922. 4594
STREET= .! '1 ::> :• I 'f I"I.I.E":I...I::. Y RD
ADDRESS=DRE, S:::: SI~Oi':A"•t!N4::: Wt•`••! 99016
ITEM DESCRIPTION TION i;;QUAN r:"I ,Y FEE AMOUNT
PROCESSING FEE 10.00
SEWER CONNECTION i 40,.0.0
........ ... , . ... .a..
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PAYMENT Dit E ti !.:E.I.I' ! er PAYMENT AMOUNT
03/30/92. 2 . ?st 5'}..00
i !.? IAL.. !_j!JI::.:::: •,00 TOTAL PAI?J:::: 50.00
PERMIT TYPE !"EE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT
50 00 5..
50.00 50:.00 .00
PROCESSED BY : JULIE SHA: ! I !.!
PRINTED BY : X)f:I"i:1 f R O V J:C Hi, ROBIN
EWER STUB A,S....BUII...f INFORMATION Is AVAILABLE l..E:: AT. THE COUNTY
UTILITIES DEI=`ARTMENT (456-3604)
)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND tt !"!.!:.`,.. .i.{_ti. !.!!" SEWER STUB PRIOR TO ANY OTHER
Y'il::.!•t,
EXCAVATION
TO LOCATE BURIED CABLES, !.7 A S PIPING, WA'! ! ER LINES, ECT.
CALL BEFORE YOU D.I. (456-8000)
SEWER STUBS ARE TO BE CHECKED !'':'.I.+_!R TO CONNECTION TO INSURE
THAT _ H .Y A'!!-t:E CLEAR AND D t.!!dL;1:i.:, I !'iU I .::.;_t TO THE E ,.r.!x!!-R MAIN
;e'•*****.}*Vit. CALL F i_j!'t: INSPECTION PR11:i j• TO COVER .};..j;..},;.•p*3;. .:y.**
***}?•*}?•*•jrVie• 24 HOUR NOTICE REQUIRED *i?* tri=:•i•:**i?.
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x r ::* 1 } : '* ! :A ?*. *t *runs * ? a THANK „ -„ 3'.33.ipi p* t 4 ?.R4••N.R91
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