1992, 06-04 Permit: 92003129 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
{"R{{.{ { f :ti i{M :..._ 92663129 ISSUED PERMIT ),r'(•:i { {;; .. 06/04/92 PAGE= 01
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'ADDRESS= SPOKANE . WA 99206
PERMIT ,.;€::..... SEWER ?.:t.1NNt::.". ... ...€`''? SOUTH BLAKE (92E-432)
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PLAT0= 000279 PLAT NAME= BURCHELL ADD.
BLOCK= , LOf= r 1
{„1I'- {'i€ {i{, .. .# DWELLINGS= '€ WATER DIET =ti
OWNER= Is " . :E i CARL % PHONE= 509 92
ON 6041! t
STREET= 13224 E 6TH AVE
ADDRESS= i'i',"_{K A€'•?€:: WA 99206
206
CONTACT NAME= i..{ s CONSTRUCTION PHONE NUMBER= 509 `:>'.•:..... ... . »;s
BUILDING ::•;::. { :.�{"{t.:it: FRONT= :..'•I.:i LEFT= I'i}i•f^I RIGHT= I'':!'(• REAR= Its:%(.:!
:,(.:;.:(.:#[.:,:* !..q,.::.*a'.** ,::t:(.aj* j.:::4•i{•* !.:,*aj..iy.:f: .I E: :,::,:.ii'2+.Yi•i!i.L ar7+i 1G 31'iE'Ni i!+i. ..u::H s,.ai.....'Jt.P.'P.#'P.. +.
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CONTRACTOR= H CONSTRUCTION
t ? :
R1; i € .N PHONE= ?; ? `" 8964
1 VALLEYWAY AVE
ADDRESS= _� { ` f � - `
99206
ITEM 3::... DI::.::r{..:€'`•.I1" .t.iI''? QUANTITY {..{::.€::. AMOUNT
40 .00
}, }+.P.}+.7t.P.it ?. .. },}..i,!. P.N.ti)+.P.f'..j[.:i!.•.1+.•3!.:++i i!k;+i '1+i:'j:'7k RAymENT :a t.i"i r`!4 R'Y .}!j i¢.y(..jj..t(.:y:..yr:!r')!r'!!i 1!r•1!i'f!i*)!i'!i:!i t!r !t-!!i 9,i:i(.:,.s,.:,c j,,:'.
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PAYMENT DATE i'•.! i"..€.{.: .!' PAYMENT AMOUNT
..:"t/04/9:, 4187 50,00
TOTAL 1}{.tE= .00 0 ' € AL PAID= 50.00
PERMIT TYPE l..EI::. AMOUNT{ F:€"IOUN i PAID AMOUNT OWING
SEWER PERMIT! 5 .00 50.00 . 0
50 00 50.00 .00
PROCESSED it..ESI::.t :f`; : Di..!3i.i. I i.i'I.t.i..H , ROBIN
PRINTED, .t::'. : D t..."i I TE-:t.-i i. .i.1_,H, ROBIN
SEWER STUB AS—BUILT_ INFORMATION IS AVAILABLE AT € 'e'-t I::. ..:!.?1..i€'-i I �T
Ui".I.I....!. I i.I::.::r 13 I::. 'A I•••: I"I E i i I . i �:}.. ...'':i!.. . .
... i I i .i j.t`i, i IIS
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE E :iND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUBPRIOR O ANY :.i OTHER
EXCAVATION
.
TO LOCATE i BURIED CABLES, GAS PIPING , WATER LINES, I::.?.: !' ,
CALL BEFORE •l O€i .!•.:I 1.9 (456-9000)
3 1::.hJ€::.€'', :':: ! t.iB:. t••!f=:t.. TO BE CHECKED PRIOR TO{ L.:i{i•Si;l3.".t• I .€.t.t1'% TO t 1.€'d.,:rU1':'s::.
THAT I I••€L:.Y ARE CLEAR AND{i INSPECTION t t l'4 l • €�;ii i t}. I I::.t? i":i €» •I%'. SEWER MAIN
K******** CALL s'O I"•: I••!•�I O I t; TO COVER 'L* *).'ii h '!ii:i:
......J ! }- ! 24 HOUR NOTICE €•°•:i-. !UIRf'..'•.j •ii•-'r'iE i'Ji 1+i**:!i•*
t.'7+i'7+.it.'r!;:J+;•iti:,,..j,, 456-3604 c: !i•i¢:y,,.lj..)+l 1:+i II !i
L33 ; k N L ! :9iSyy } ! y : 71 } : * ! 3 : : ii ` THANK Y t tj :: } 3i : fjj: ! : ij1L :: } : „ i ! jG : j: * j
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