1992, 06-05 Permit: 92004067 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 agentto 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 _s�G .fir
/1
OWNER OR AGENT �«-i; d'�7- DATE
'`•..!:.!.., , NUMBER= 92004067 .#.... .. ...... i_+ PERMIT DATE= 06/05/92 S,v'^ :::'.
01
c , :: ** c: ::.s *! : s *} , ! a : a : : : :uPERMIT I •? !" " : i „ t * ; E** :* 4 ( (* +} t ( ipt ¢ f jft ;
:
ADDRESE= SPOKANE :,A 99216
PERMITUSE= i,.,!3,,. • CONNECTION •-^ SOUTH BLAKE (92S-568 )
`!+'j+.j,, :v E..,,. NOTE *.j,;*
PLATO= CONVRT PLAT NAME=
CONVERTED CNTY DATA
BLOCK=
a= _ •"I•"= ZONE= . ,., : DIST..... ,,,
.!!. OF !;<; !j l.Y S:::: 4 .,,. !'tl,??::.#._#...I?'1 G,:3:::: , WATER !'f.::. s = 4
iii!i'u = ' ' PHONE=
f i i�;'}:,,. ! .h`' : E:: C:i # IA f.`e'E.
r•`a{i J j E i:,r,.. •• EPOKANE WA 99216
CONTACT NAME= FRED '.:t t.:l#R.?.:.: WATT PHONE iv#.!#"?{:'?:'.t;:._.. .�7' ...'t 'j'•? t...
'
BUILDING EETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= NSA
i!+.•i+i i'+i:+r iii•Ni')+i!+i•i+i•)+r'l+i k•4+r**j+i*i!+r'1!i'jli"+i•i+i 1+r•i+i'9r'i+r 1'r ii•j!r SEWER P:Y'r.;...... ..........................'jM1 3!r'}yi r?:H••j+i'j+i'j!r 7?''1C''Pr:G'Pi'N:• {• t:
CONTRACTOR= t i:aird R PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT I
::`#":t!t:F, t:S.?.r I.r FIT Y .1 ' , i;:'C'j I
, ::.t!1?::.?'i: i,,UkN'::.i,.• i .F;,...-; 40,00
} } : : PPj ;s : } : {*A : *A: *R.A ;As,.: aA* "{ 'm:", SUMMARY u *j ;tt: ij : :*u t :**N : {P *i py :
PAYMENT DATE E ?"•:#_.1.:?::. .,..• ! .t,. PAYMENT AMOUNT
06/05/92 42F:.iA 50.00
TOTAL DUF= ,00 TOTAL PAID= 50,00
PERMIT TYPE i";.:.E AMOUNT AMOUNT PAID AMOUNT OWING
l,.,,hiER: PERMIT 50.00 50.00 .00
PROCESSED50A0 50.00 .00
PRINTED :o'f' : ,t J c,I M: . R i„! . .,,t.,•a'i , ROBIN
SEWER : ! B AS—BUILT I ?E „ RMqT! ^ N IE AVAILABLE 1 ,iECOUNTY
!MN THEE DEPARTMENT (456-3604)
APPLICANT
_... LOCATE AND CONFIRM THE 1
CONTRACTOR OR :??''s' !••I?'f ? .� ; ._! ?.. 3.�:.?...li ..... ». C:. a ..# ! 1 ?'i i
ELEVATION ,(•i?#`,;?i POSITION OF SEWER Ei [.I%i PRIOR O t•:?!`E'Y OTHER
EXCAVATION
TO LOCATE BURIED CABLEE, GAEPIPING , WATER LINES , ECT.
CALL BEFORE YOU DIG C" !.41. '`:i.,,.;', 0f`0\
U
SEWER STUBS A!t E.. ? i I BE CHECKED PRIOR .,3, :i is::(: N :i ::c •. .,,f'? 10 INSURE 1
''H,^.' THEY
„?#::. •i t- CLEAR AND ?`~! ? z3-T E�:i..!t.:•# E::.%} TO
THE ,C'i=,i:.i E-.E": •rir't,E.i`
:74 jR Fk t) CALL
: , , r " . i , " „ :y " v PRIOR
, , R _ ,
.J:•x••!:u:n''n:•st:x•:a i+:
.,_.:,,.,,,.,,.*.,,•},•;,:* •'a HOUR !3?..! ; .#...:t::. REQUIRED •k'3 ? Je j ji•t i):
34'92'•P'•A:4k•F:•!!::+:'!+: 456-3604
4 , J ! d4 : a **K Paf : ac a : : 94 ) 9 ? } THANK Y ! t }*: !..} *a :.,:..: *: r: h 1 .! .... . 1 ; ij ¢