1992, 06-17 Permit: 92004420 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 t e provisio •of an state or local law r gulating 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 ��
P:.::- ::.. 3 NUMBER-
,. , PERMIT 4 i 1,::}
TE 06/17/92 PAE-
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SiiE .
RLL1 10019 E 9TH AVE PARCEL4= 45204 , 0663
ADDRESS= SPOKANE WA 99206
002704
NAME=
LOT-
OWNER- jOHNSON , LAURA PHONE-
7 ; M AVL
ADDRESS= SPOKANE WA 99206
PHONE NUMBER .509 922 0559
BUILDING .
SETBACKS : FRONT= ... ..•F•: . ... ..... i "' . ivl .. . .
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CONTRACTOR— }}:1M Ni UUNSMUUliUN PHONE- 509 928 0559
STREET= P 0 BOX
ADDRESS= SPOKANE 17.:i::[.. 99214
.
ITEM DESCRIPTION QUANT:r •••( EE 2''1
PROCESSING FEE 10 , 00
SEWER CONNECTION 40 , 00
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PAYMENT ,.i••I : E. ::E::.'..:f....... .. t.:i, E•E!:... ... .... _
}.1.... . . . 2 4•.. ... ... 50, 00
................................................
TOTAL. DUE= „00 50 , 00
PERMIT TYPE
E _...._ r'))... .. N iAMOUNT . AID AMOUNT OWING
E: P..... ...... . . .. ..00 .. .. !:>
DumirRuVIOH , ROBIN
' PRINTED ... . : .. .... .... . E"•.... . .i. t',, ROBIN
SEWER STUB AS—BUILT INFORMATION TE AVAILABLE AT THE COUNTY
CONTRACTOR APPLICANT IS TO FIELD LOCATE f••E i`,1, CONFIRM THE
ELEVATION f't N 1,3 POSITION OF
SEWER STUB PRIOR TO j.:.j N.j OTHER
EXCAVATION
CABLES,TO LOCATE BURIED PIPING ,
CALL BEFORE YOU DIG ( 456-8000)
SEWERIxt�'i= } i 1•`E ARE t 3 BE i.. i i,•� tCONNECTION .. ... ..
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ARE
'
IHAT THEY
UNOBSTRUCTED TO THE SEWER MAIN
24 HOUR NUliUE. FEW..ilkED
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