1992, 05-13 Permit: 92002764 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
PROJECT
" ). kCT NUMBER- 9- 0: ` ; ^ ¢ 1 \; !: ? PERMIT
DATE:::: . . . .
.. ,-.,... ..• . NE, - •.•: .. . . r.i.:r. .+(..
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SITE .R „.._' .n._..
,:}�( !';�:.!::. 1 :::: 9917 #::: S:. { !"i i--1'�#:' I�' Ft;I•; 20541 -1728
ADDRESS=:::: SF(:iKANE WA 99206
PERMIT USE= .:>t::.ixl#:::!". CONNECTION .... %.t....#..I.L t:r#"# i..}#...:#..(1 (92E-379 )
'li'Vii'* SEE NOTE ii•3i••"
PLATO= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK- LOT- ZONE= AGSUB r. .l.S ! ,r:-
. ,••,i ^... 00000000
rr.nr,e•.r. r•• i r•• WIDTH=
•vv- ..' DEPTH=
_1.i'i:::: ''
4 OF A:t 1....t?is,:r:::: 't •u' .t/W C:.L..t.....N U,\::= WATER ?J.t.Si ....
OWNt:..R_:. ...!C)#••INS (l.l1 , 1...(:)l.?J.,:} ;..#"#t.?1'.1::.=
STREET- 991 , E: :)'j-I..# ('AVE
ADDRESS= SE''OKANE:. WA 99206
CONTACT
t ' T` _ ' " "E : i [ a LONG
JN : EtC =iA_ iivPHONE NUMBER= 509 924 4W32I
BUILDING NG r::. i B( (:#t.,::. : FRONT= N/A LEFT== I'J/A RIGHT== N/A REAR= N/A
, 14 A* )i /i Jl J' i4 P P P 1 1 ) t Jt Jt 14, ,+ 14 H 1t 1 ,t k it H ,.>E:.W i::.R p E:.1't i'I.I. ( .11..p:.1,:.14.)t..H.)+:.)y..il••1{•:+i'*•i+:'1L ii..j,..jt..7t.il.9,...P:•3+:'li':1.3`:•1+:9!:'P:'+::++:
CONTRACTOR= ROBERT A LONG PHONE:::: 509 924 r , 2
STREET=-i•:::: '.Y%a i ':, ;: EANDE RD
r••IA1.1),,EES4•(•9#...#...E Y {"t.tRD WA 99036
la:.'6
ITEM i.1,.. .t, o'' QUANTITY FEE AMC)i.►N'I
PROCESSING c.i.iJ(.r #"E:.I::. { 10 .00
SEWER CONNECTION 1 40,.00
1ti•*hi•h..p}.u..ii•a!••te i+•3i.*.M••v:•k••'ri i+:•ii••n;k•fii'i'i•n':•n:•n:'x•*i+:'u•ii•'14 PAYMENT �}t.!1"i f'i(-'t',''; •i4•ii.*.ii..y;.:p..i,.*.u..i,.*.M.i,,.it..a..x..k•:ti•di.y,..i4.ii.*.x.:it•fi:'i+: !:
PAYMENT DATE R#'(..E.t.P t is PAYMENT AMOUNT
05/13/92 753 i, Sc', ..'00
TOTAL F:i1,. DU 0:3 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT"(' Cli.4 NG
--
SEWER PERMIT 50,00 50.00 ,';iii
\ 50.00
I:`Etllt F,:r'i#: Dy• BY : D(..iM i.1 R(.)''r.1.CU , ROBIN
PRINTED'T#:::D 1'Y : DC)i"f1:TRO i:Ci'# , ROBIN
I::WE::#: STUB F`! '....i tl:#:#...••, INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
C C)N.T.RA,(:::.rOR OR APPLICANT :#:.`' TO FIELD LOCATE AND CONFIRM TH:::
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE iiE1Ei CABLES , GASPIPING,' a WATER LINES , F
CAt._1... BEFORE YOU DIG ( 456—@000)
SEWER STUBS UEtS ARE:. TO BE CHECKED PRIOR TO CONNECTION .I O INSURE
THAT T#'1 I-.r' ('I I'C#". CLEAR AND UNOBSTRUCTED O THE,,_. ,'#-.(xlE':R MAIN
CALL !..!i•E INSPECTION PRIOR t C:t COVER 'n••,t••a:•u•7i•i+:•,i•'it•is x•
(..t•!.k*•!tis•A•* : =� '1 t!t? '': .\t 1 I .i.t.:#'. !''•.1::.'.>,l.?.t.t{.t'.?_, **a****4,:.**
...... ....
•n:•Je•�a',t•x'•l.i.i,.:,i.:Ji. 456-3604 1+:*:ic id••hi'i+:'14•i+:•1+;'ii'
)i•*1}•*•ir••ft'*•Ji'7+i ii•9i•)i•'3 1.*7i'1+i)+i•31)i•:Pi:P•3•:1:.31 i 313i'R••ii'* THANK Y1 1 t,i Jt 3i''31 ft i+ tui•it•ii•!i•)i•i+t.3( '9t•*.11)t 3': 'i'ie•i'::,i•:Pi 9?'It*:3••ii'31*3.•i:•3•