1992, 04-17 Permit App: 92002605 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
.!,.. ....,.._. 92002605 APPLICATION {;jt:iTi:•:::: .. .. . . .... PAGE= .. .
** ' i. : THIS NOT{ f ijPERMIT Vii-*f!-1.*):
PENALTIES WILL BEA,:r:S :.a:iE:: tt FOR ... S:ii"fi"fEN.c :rNc; wi„i ;`.K WITHOUT A PERMIT
EITE STREET= 13609 E 7TH AVE PAROEL4= 22541 -1703
ADDRESE= SPOKANE WA 99216
PERMIT {:.,.{••.... SEWER CONNECTION .... SOUTH T>•-E i•i? AE;.f. (92E-362)
;t;•** .•E?::. NOTE 1t•)t K
PLAT4=.,,._.. 00 ? ,_•i6:,. i.:LA ? NAME= MOORE ' E MOOR?::.' SttRritEj- j A v HOMES ADD
BLOCK= 6 LOT=
,
AREA= - WIDTH=:jIii.�: DEPTH= E;°:W
OFa??...3,,,...,.... t,,:...t...t...;.I�'ls t..... WATER ....
::. I ?•t?::.?::. ? •t 9 h t.•j`+' I: ( IN f••` •..»
fill+RE::».... .. SPOKANE WA 99216
...
»:1. .. ! ? r'+i f••i"1;':::: "` 509 _.,9
7 ti! f.•i t..: ..I...... •'? �'z ,:r t.:t.i?`'�:: _' ?".l.i l..• ? .?.i�.i i'{ PHONE NUMBER= 926
BUILDING SETBACKS : I•• ON••' ... NSA({ ,...,::.?' 3:... N/A f i I';:.r.i.-r : { ... +.i S q"; REAR= N.'f.
:,*:. . :. >.t t:..u.t; t N t.•a•*'t x• .. t r}:N. :.:?::.?ai E?';: p?::.?'_.;?"?i. ; .t,;•}e;jF;:+,:•)!i i+: ,;-i+;-'u:• i':+i i+:*.hi:i..y,.k.i,..j,;*.i,.*.y{..;,.:t;.;,; ,: ,•.it.j,;
CONTRACTOR= H & S CONSTRUCTION ?=`Hi:tN.-.:::: 509 926 .:;;z;::.
STREET= 'f •? r;f Vf•l?...i._`:::.YI' t `( AVE
ADDRESS:::: SPOKANE
v Ot ( rEk f7 . ?{
ITEM DESCRIPTIONQUANTITY
ati N» i ? FEE i A :' t ;
PROCESSING .. ... .. ,F i10,00
SEWER CONNECTION •} } t 0 I
PERMIT{ 1- f? e... ?"L:.r::. AMOUNT AMOUNT PAID AMOUNT Otati,?=•1,G
SEWER PERMIT 4?",... E ...0:;:i0 .00 50.00
?+i:.':I}:j AO 50 ,00
PROCESSED B DOMITROVICH , ROBIN
PRINTED BY :. ,i_ji.;?"I:E. T t•tl.iV i:C::?•9 ROBIN
SEWER STUB AE—BUILT INFORMATION 1•' AVAILABLE
f , s, . AT THE
COUNTY
UTILITIES DEPARTMENT ! : 56. 360 ; 2
CONTRACTOR OR APPLICANT ? T; FIELD: ? :? 3 " � 2: - V
r N F E : _
i i
ELEVATION AND POSITION itSEWER STUB ;RIETO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES . .r A,: PIPING , WA ? _.i; LINES, ECT ,
CALL BEFORE.•`RE -:OU is.l.t" (4:'':li....._ {;,:.`0)
SEWER ETUDE UD ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY r tlx: .? SEWER
i+i-t+*?+:-je*a}-*# CALL FOR INSPECTION PR!.O? TO: ... .. ? ? :+':*?t:•ii•;++i•j+:•it i,}*jt:
24 HOUR NOTICE ?•',E::.t:.,.ii.t•:?::.i. ,i.j(.j..*.,r..j;.*.j,..ji.n:;
7 .. .. 7.....i. .c; •{:i' },..!'i��•! 'jsr-j+r a,r j,.**.i;.}!•iti'j+r
i+'r 1;--R:•9t-1?-}h 1!•....:t-iE......h:*3:..,y.:,y..,..,,..,.' :j.....:j.:'.
.1...t.•Y....:'.'+:T:t. ....i.F,)• THANK Yl -t:_-i p...............i i+t 9i.i'•.^.i•;:r j.:tf•1:•4t,-ist ss;;t:.j:.*.j,..j_.*j.se.1f..P..1`i+'i i+si