1992, 10-26 Permit: 92009355 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. / 9
SIGNATURE OF c��� / /�APPLICATION ( ` ‘ _,
OWNER OR AGENT i' DATE
•
S.:I;:n.3 i-•i":T 'NI i�s B E::.I"•:-• . ....':?09:7,99 ..S��U Ej;D PERMIT DATE= 10/26/92 PAGE= t:%'.
i 9 ) k i) ja ?} N 9 } ?ii AC: } iPit 7 t i '. » mo1 ~ INFORMATION x • k} 7 k : l Jk$ ( i*ji} ) (94ti Pk i R F }
SITE STREET= 9 :J::. ! 6 E 4TH H AVE !"ARCEI...:N.:::: 45221 .9053
ADDRESS= tiPOKANE WA 99216
PERMIT USE= SEWER CONNECTION .._ SOUTH BLAKE (92S-1091 )
*** SEE NOTE ;+;;i•'x
PLATO= 999999 PLAT NAME:: RANGE
AREA:::: 00000000 E'/A= F WIDTH= DEPTH= ;;/W::::
NOF BL TC- : uDWELLINGS= I WATER DIST =
SPOKANE O K A N,y,
; {I14 r _ �i 4:icI+r' ! PHONE::: 509 . 26 ...::)•I B
41H AVE
ADDRESS= E. W A 99216
CONTACT NAME= T L C ;CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR:::: NIA
ii3it PPt kl k 14Pk i 1tJ } J 1 { ¢i :§ r t SEWER : : ;M ; » *************************.****K
CONTRACTOR= 1 I.....: CONSTRUCTION PHONE= v. 927 6760
STREET=
RE:E.T= .I ,38:1C? E 12TH AVE I
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
----------
PROCESSING FEE f 10.00
SEWER CONNECTION i 40,00
********K********************** 'fY '1TSUMMAR' .********* t'' itt ¢* i* iR **Pp':
PAYMENT TATE: RE::.I..'•EIPT:n; PAYMENT AMOUNT
10/26/92 9499 50.00
TOTAL DUE= n00 TOTAL PA.I:T!
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50:00 .00
50.00 ::i0hC?0 .00
PROCESSED BY : tlOr"!s i RO'" ICH ROBIN
PRINTED BY : DOMITROV:[C 'E, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE: AT THEE COUNTY
UT II. ITIES DI " 5 : fINT + 456-3604
i
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
'EXCAVATION
TO I..•t.)C+ftII. BURIED CABLES , GAS 11.!'1.NG, 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 UNOBSTRUCTED TO THE SEWER MAIN
k•i .***k•n•n* CALL FOR I'4 .+.NSI'G..C: ! 1.t.?N PRIOR • .TO COVER a**:*******
:•: „—,OUR
f..1., ... e H 'l;li i '; ;
)r i�ie�r}±i6�•ar it ,;�•t1 t'1 t.i!i ty. 1`�Ct + +...:I::. I•:1=.•�:Li.I. •�`.I::..J
}i•ii••ii 3+:•}i•Jl ik ii•* 456-36()4
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