1992, 06-15 Permit App: 92004356 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
•
PROUECT NUMBER= 92004:156 APPLICATION DATE- 06/i7/9::: PAGE- 0i
11 Ni fl. WORK WITHOUT A PERMIT
SHE 16!...?04 AVE PARCELO- 47221 , 1669
ADDRESS- SPOKANE WA 992216
PERMIT USE- SEWER CONNECTION - EOUiH
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-: 001669 PLAT NAME= MOORE ' S SURBURBAN HOMES ADD
STREET- 17. 704 E 7TH AVE
ADDRESS- SPOKANE WA 992216
CONTACT NAME=
•t
CONSTRUCTION PHONE NUMBER- 709 926 0964
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N/A L.
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:::::v•.:,:.:,'.i::,i.:,::,::•.:,'.:'.:,'.:i.:,'.:'.:SEWER CONNECTION 40 , 00
CONTRACTOR- H S CONSTRUCTION PHONE:- 509
STREET- 11817 E VALLEYWAY AVE
ITEM DESCRIPTION QUANTITY AmuUNI
hLL 10 , 00PERMIT TYPE AMOUNT PAID AMOUNT OWING
SEWER PERMIT o o .. 00 70 ,. 00
70 , 00 ,00 70 , 00
PROCFSSED BY : DOMITROVICH , ROBIN
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE HT .11-1 L:JUNIr
UTILITIES DEPARTMENT .. 456-Z604)
CONTRACTOR OR
APPLJOANTJS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSTiION UF FEWER EFUB PRIOR TO ANY OTHER
EXCAVATION
TO ...00ATE BURIED CABLEE , GAS PIPING, WATER LINES , EcT ,
' ....V.,.. R ..: t ,,,,;; ARE TO} f..�` CHECKED PRIOR TO,1 j'3 I .t i Nt 'i'•! INSURE
THAT ; i'i E:.. ARE CLEAR {-'ti :1,i[: .i..l' THE SEWER R .. I N
+:;+:'1!i 9+i i+t;;,...,:K:4 CALL F !R N S i' :`3I J Fi TO COVER '�}..'P;.�i•sy,rl�':t, 1:�ii•;L;l!;
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'II ) , :.K..1... 24 HOUR !`:v..r i .1.!..r1::. REQUIRED .. );:'fu 1.
il;i}; !;i}; !};+r K i'-'r:n: 476-'3604 3f:iII '+I 'j:•1+i'1}i'1+i')1'11 11+r
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