1992, 07-14 Permit: 92005259 Sewer i
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that l 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 issu•• e 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. • sons 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. 6 ,../e„.../c67._ �+SIGNATURE OF APPLICATION �7 /G/ ^/OWNER OR AGENT DATE / /
FHUjEUI NUMBER= s t•}...3;;......, # #} PERMIT DATE= 07/14/92
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... ............................ ..::.a:.a,::+;.:,(.•i.:p:+i.:�i.:,:.:,�.:,r.:{.:,: .:.. ., T INpoRmATIoN .Y i+;.:,tr)R 1+i iei.....i++r-jrj***f$7i.:Jt.iu,.1t:t;-iui F*.•ji•!;-iei...;.f..:t,•;n.'.1:'
. 1 ,.. t t:", "t'.... PARCEL0= 45221 .0913
#DR ....,.. SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION .... WOLFCREST (92E-707)
+''!.AT:j:::..
N ;002 > PLAT NAME= BURCHELL ADD.
BLOCK= i ! tit . . ZONE— A
ryI ... ....t . ... 1.:
- 'E ( = 00000070 21c : WIDTH= ' CC 'Yi
RSW=
50
'+'• ;,.?!- rt# tJt.:! :•::.: '? .,.. DWELLINGS= '? WATER ER DI .. .
OWNER= tMA? : L i GEORGE F " N?.. !::509
` j9 :24 27:34
STREET= 13112 E 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT ' ! - GEORGE f !A? ! ' PHONE
?ONUMBER=
BUILDING SETBACKS : FRONT= N/A LEFT= � ` 4 :. GH" . {; REAR= N/A
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ooNTRAOTOR=,iR - OWNER PHONE=
ITEM DESCRIPTION f.:;t.?r•1!': ! Iit F!::.!::. AMOUNT
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E»'I•';f_+f f_:E:'. ?.t-•}s," t::.?::. . .
SEWER CONNECTION 40.00
a::..:,•.:•.•'..:'...:•..'....•.:.•.s•.:{..a.:i.:{.:i.:„::y.:,..:•.:j.:j.a(.:•. ::(: '',1 `+�U S"i m A'i` n,....i+i.c.......++r.i i.iti.i+i:li...:..............•Pi�'i'i`i 9k.ilr:1t .itr
a f-.:t P.i+.P.Jt:t.1t.j!.,+. .+.1-.,+. 1.i. ).1.1.......P. J. 1.,.!t'i�••h:••iE•it• f .�'f:?"??::.t. :_ .......�f.\ :
PAYMENT i,.i•:# !.. a••.t...1.:t......t .t.
PAYMENT AMOUNT 0,
07/14/92 5440 50.00 1
.... 00 TOTAL PAID= ?•.J. .. •_s
PERMIT
TYPE F;»t.. AMOUNT AMOUNT PAID AMOUNT i,i..,a.!^•tG
PERMITSEWER 50.00 50.00 .00
50 .00 50.00 ,00
PROCESSED B , ?,r,..??"#:. ! ?":t.?P .?.t..:F'i ROBIN
PRINTED 3'3. ' D O M I . R t.?'V'.E.t., 'E; ROBIN
SEWER : : t .
AS—BUILT INFORMATION .!.:.: AVAILABLE fif T _I.t•.{t:: COUNTY
UTILITIES DEPARTmENT 56-3604 )
CONTRACTOR ...fE:=: APPLICANT .E.;~; TO FIELD•iLOCATE AND CONFIRM THE
ELEVATION i.a?'•,f}1 POSITION t_?f" SEWER STUB PRIOR ? t.. ;.a;^,?•;• OTHER
EXCAVATION
TO LOCATE
ST : ? t ? E ? CABLES , :AS PIPING , xf 'i4 LINES, ECT.
CALL x::!-.E••t,7Y:# YOU DIG ( 456-8000)
}ii
, au?..- STUBS "� ! :: CHECKED l i EPRIOR ri� CONNECTION' + `i � ' _ t `tINSURE
THAT? ! ?••??::. ARE CLEAR f. R ;•-#+••D #.,??^•+.t.??.;::. ! L-;t`#:..• 3 E:.?.J +? THE SEWER .`•�.? N
PRIOR -t•f,.. COVER •u:3E�r•:�n:•i+:ii•'�:.j(••iG ,:
******K** CALL !"1.?�'•: INSPECTION
********K - % HOUR Nt !. IREQUIRED : *i " 1j ) P7
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