1992, 08-04 Permit: 92006021 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 APPLICATION
OWNER OR AGENT DATE
pis*#r'*iE*irri•##3rri•3t•**ar*#*•irit*3F**fie , F::FtiM T• INFORMATION **,r**********************kr.'
SITESTREET= 1 06.19 5 C •, .4;
W : . ' i : PARCEL4= 45204,0176
ADDRESS= SPOKANE. WA 99206
PERMIT i,I SE;'w: SEWER Ft CON EC:T1:ON -'• OLD ORCHARD (92E-759)
?
*** SEE NOTE-. n**
PLATO= 000000 PLAT NAME::: UNKNOWN
BLOCK= LOT-- ZONE= AGSUB TjI t;;: =
AREA= 00000001 F:•,•'A::.: A I4InTH•= .T)E.F-' Ii-; ..;` i :: °;,r;
ROF ALDY u- N DWELLINGS= WAT -R DIST =
OWNER= SPOKANE COUNTY PHONE= 509 456 3600
STREET= 8. 1 N JEFFERSON ET
ADDRESS= SPC.}KtANE:. WA 99260
CONTACT NAME=-: H & ; CONSTRUCTION PHONE NUMBER= 509 926 : 96.4
BUILDING SETBACKS : FRONT-:: N/A LEFT=w i A RIGHT= N/A REARS== N/A
E::F'
E' F:°F.„ i�:*ii ii A ii•�e'A'A**'}k�:•i>:•#i ri*�E�:iE it•lir.jt j�:-ri i;-ii-iii Hi Hi
,1>t•x•�•a H•ac•�:•;r�r•tt•�:�:•ai••�•x•�:•���:•�t aR��t�r•x•x•�:�: SEWER!al Fi�..
CONTRACTOR= H & S C3 CONSTRUCTION i.,lCT:i:ON PHONE=:: 50 9> ,'; 64
STREET= 1181 r E i`AL..L_E:YwAY AVE
ADDRESS::: SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F•E.E. 7' 10.00
SEWER CONNECTION i 40,00
** * *3'•**..X.. ***$•*it*A •3l***Kit• PAYMENT SUMMARY ***3*****h*1 *P* 1ikiPPiP (hRk
PROJECT NUMBER= 9: 0e :021 ISSUED PERMIT DATE=E _ 08/04/92 PA E: 01
PAYMENT DATE REt.:I-..T.I-'T O PAYMENT
08/04/926$ 1 ^.} 50.00
------------
TOTAL. DUE:::: :.00 TOTAL. PAID::: 50^00
TYPE PERMIT } r P E:: FE::E:: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50., >; 50,00 ..00
50,00 50^?,•y0 .00
I`'I.;Oi i:::S:>E D, BY : DOMI TROu'ICH , RC:'B:F.N
PRINTED BY : .DOMI•T'Ri1VICH,, ROBIN
SEWER STUB AS -i _ 1I " INFORMATION IS AVAILABLE = _ IECOUNTY
UTILITIES DEPARTMENT (456'•••3604
CONTRACTOR OR APPLICANT 1:S ('C.:} FIELD LOCATE A{v.AJ CONFIRM THE
ELEVATION r-.i}�tJ POSITION t.f}- SEWER STUB }-'I`•i.i.'.r ANY r•:.Y i:..R
EXCAVATION
tLOCATE , i " tEICi Rk
r f > PIPING , WATER I . 'kS , ECT,
CALL BEFORE YOU DIG (456- 8000)
SEWER STUBS UB, ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
E
THAT } r•Ir_.Y f•i r.}-. CLEAR dN iUNOBSTRUCTED
: I , MAIN
* ? ixnnnT � CALL , ,R INSPECTION
PRIOR TO COVER
?t•*n•*:Fr•»•fr*x• 24 HOUR NOTICE REQUIRED
*Pi*Pi,k.P..jt** 456-3604 ni•A:9+r*Ni,{•),it?h•j{.
Nrr: , n ?1 ) E aip1NNr , r r t*ni ri *n* r rTHANK you •'..:? ) F , J * ) I , *jPC IH: r**1R i*fi **y } **