1992, 08-04 Permit: 92006039 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 unders .••t at the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to vio eorcan : the provisQps of any - . - all.' egulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating co .truction.
SIGNATURE OF I 1 APPLICATION
OWNER OR AGENT J DATE
PROJECT NUMBER= 92006039 ISSUED PERMIT DATE= j8. ,j•../'9:2 :'r:ti..rl::.:::•
E RM•I.._
:,k i+:•)s•9?•n•ih 4(•9t li•)i 7t}!-)!•N•:+?•F•ik N•it••!R'iE i!'9t 9k�+:7!'il•it INFORMATION Yk•P-Jt••Jk)>•7t k 9l•lY i':••lt it•) :R..jl.•),.:P.*.j:..j!:ii-it•:+l•9+:tt.**:1•:
SITE r`!''i::ET". •1 _1 1 1 9 F 4TH AVE F''f-'iF;:C::E::i...:v:::: 45221 . 9037
ADDRESS= SPOKANE WA 99216
PERMIT USE= SI•.WE CONNECTION / 925-782
*" '' SEE NOTE *3r
_ AREA= ',:0{.jYt:y000 r'/f:t:::: I.. WIDTH= DEPTH=i'?= !-';,'i i= 4
C:IWruER:::: YATES, E;:i_I,'`:' PHONE=
STREET= 13119 1::. 4TH 1"1 f-1k F::.
ADDRESS= 'j'.iI(c N WA 99216
CONTACT NAME= , M
STONE f1GJ. NUMBER=
509 > ; f 7710
BUILDING SETBACKS : FRONT- NA iE=T: NA RIGHT= NA A ;: Na
?r *ihiiirik ii v**rirr *iih i) ) *n iSEWER rEEy1ns*a*3 i*irii *iie nknnrt rr ; frnrt ,
CONTRACTOR= TOM I"! ,,: T .E EXCAVATING
509 928 7710
STREET=i'::_ E:.Ci BOX 14154
ADDRESS= SPOKANE WA 9921 4
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING
._ E .... 7: 10: 00
SEWER CONNECTION $: ,0:
Vit•. 3f*it ri 3.*J{•!+:M'it'.A:•-R•.j}.'N-. *. *ii•P:1t' :'*'jk-1{•1{•..•j{- pAymENT r:U ,1 M f i R•.: ::1{. :K.j(.3l*. .:)t.•.•..7l•-9:*. ..•f.*•P:-}F•:�:•j+:Jl:•j{-.*
PAYMENT DaTE r *C i . 'T r PAYMENT AMOUNT
08/04/92 61 24 50.00
TOTAL D1 ': U : %iTOTALPAID- 50 .00
PERMIT TYPEFEE AMOUNT AMOUNT PAID AMOUNT OWING
EE::taiE::R PERMIT 50,00 • •
50,00 50. 0O a i;0
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
SEWER STUB AS—BUILT INFORMATION 1:S' AVAILABLE Arsi...E:: rif THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT N'I I S TO FIELD LOCATE AND CONFIRM THE:::
ELEVATION i AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE t ;1FIDlfl ! G E S PIPING, WATER LINES, ECT„
CALLBEFORE YOU TF , (456- 8000)
SEWER STUBS ARE TO BE: CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY fll'\I CLEAR AND UNOBSTRUCTED TO THE SEWER IIJF'I' rlAI N
-j+:3: :'i;:*'p ,t x i~ CALL FCl t' INSPECTION PRIOR TO COVER 'j+:'jt*x§t•*•b:3I i+:'*
it :t****r k- "?. HOUR 1J"I T NOTICE REQUIRED •jkii '#' 'ii•:.�:k,i•
:a::U:'a•-r:•,�ai x)e h:• 456-3604 )•:}+•i':**3i•***m•
j *ribi *, *****a**»*a tr****i **** t THANK T . . rjE*Ai , 4L9ii9k r*yFiii *iPr9 ) h t*R 9
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