1992, 07-24 Permit: 92005671 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF �[/ / , APPLICATIONS
OWNER OR AGENT �e — DATE
PRniErT NiimnER- 92005671 ISSUED PERMIT D(..ccr= C;7/:.,4/
}r.*.}.,.,y!f!.i?:{}..N 1:J.,!•.1-.y..:}.1-.;..1-.,:1.,a.R.?-,y.,}..:}.>, ! s...!':l E... .L. .. o i".... . s.t... _PERMIT USE= SEWER .r'1}.' ...,...r.,:-'1!.....,... .. r..... .... .. .. .... .. ...
CONNECTION
SEE NoiL
PLATO- 000217 PLAT NAME.: BLUEBIRD ADD ,
BLOCK., LOT- '3 ZONE- AGRI DISTO=
,
STREET= 13'316 E 7TH AVE
ADDRESS= SPOKANE WA 9922.16
CONTACT NAME=
:. :::... .:. PLUS
CONSTRUCTIONPHONE: NUMBER-s.
BUILDINGSETBACKS : FRONT= `:i: ir'`s LEFT:-- N. . . RIGHT- N/A REAR-%i4 ..
.,!..}..,,..!..!.............!...y..t !! •n ! ! !. .} .t t u. u.}:..Ti i!!i*i!>.•'Jtr sEwER pERmIT •j:i:{''Pi'1}i'J','Kk K ...,.,. .. .. .. .. .... .. .. .. .. .... .... .. .. .
CONTRACTOR= A PLUE CONETRUCTION PHONE= 50? c;'22
..ti.
SCHIRLEY RD
ADDRESS- SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY
SEWER CONNECTION 4 „00
py'}:•**ik a•A.R Jt.}!:*1•. 3..P. P.9\:•.1-.P.lir i}t'3k i!i 41i•Pi*):i*it?r'1!:1}: pAymENT ... ...m 1.. .. . 'f7!...1t..N:'!7r.. ..J........... ......_ .. .. .. .. .. .. .. .. ..
PAYMENT DATE RECEIPT4 PAYMENT AMO!..: T
07/24/92 5814 50 , 00
................................................
TOTAL t,y`..{i....... „00 1 i,-i i {.:i 3.., PAID= 50, 00
PERMIT IYFL AmOUNT AMOUNT PAID AMOUNT OWING
PERMIT 50.00 . 00
”' t:t k.. l? .t:.'i : AL)DOMITROVICH, ROBIN
PRINTED B .?_J...?'I.i. . .'.1..• . ...i.,e"i , ROBIN
SEWER ETUB AS—BUILT INFORMATION
TS AVAILABLE AT THE flf-INTY
UTILITIEE DEPARTMENT ( 456-3604)
CONTRACTOR it•`. APPLICANT IS TO FIELDLOCATE AND CONFIRM ...
ELEVATION AND POSITION OF EEWER ETUB PRIOR TO ANY OTHER
EXCAVATION
TO' , i i?. BURIED LINES , FCT ,