1992, 02-06 Permit App: 92000653 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
PROJECT NUMBER= :0 APPLICATION PAE- 01
.;i..u;.,i.S?,ni* THIS
.i..` !V{,! { A PERMIT !.J?::!f:.} .,.:ff:
PENALTIES : L BE ASSFEEED FOR COMMENCING
•
SITE :•
13410
SPOKANE
PLAT4= 001050 PLAT NAME= GRAY lET ADD REPLAT
BLOCK= LOT=
AREA- 00000000 F/A- F WIDTH= DEPTH= P/W=
4 OF -
E"3t.!'.Y{..':.i ? 1.!'.E
STREET= 134.10 E 6TH AVE
ADDRESS- SPOKANE WA 99216
' `..!!.: 3 A..,. , NAME= 3••+ LuNS ; kuL ; ION PHONENUMBER= 0 9 926 ...
BUILDINC, SETBACKS : FRONT= N/A LEFT= N/A
RIGHT=**§**************************
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CONTRACTOR= H & E CONSTRUCTION PHONE= 509 926 2964
ADDRESS= SPOKANE WA 99206
PROCEEEI{'-J{ FEE 10 ,00
EEWER CONNECTION 40,00
n(PL FEE AMOUNT AMOUNT PAID AMOUNT OWING
if i" i 0 50 , 00
PRINIED BY : DOMTTROVICH ROBIN
;.:;EWER F7,:,....{. { Li 1.Ni-UkmAFIUN IE AVAILABLE l:•{..[ THE cOUNT'f'
UTILITIES DEPARTMENT ( 456-3604 )
ELEVATION AND
! !{ OP SEWER S•iiiB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLEE, GAE PIPING , WATER LINE , FCT ,
CALL BEFORE YOU DTG ( 456—a000)
gEWER :
BE ARE TO BE CHECKED PRIOR TO CONNECTION Tc TNsPE
THAT THEY ARE !::"AR ANT) HNOBETRUCTED TO THE SEWER MAIN
J.:;. REQUIRED
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.._...:3..il.'i!.'i!...l;.f,..i. 456-3604 :!t:'`?: ..:!t: E::tj' :
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