1992, 07-07 Permit: 92005024 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 �j / �f
OWNER OR AGENT DATE t! ...fff///��`
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AVL PARCEL4= 45224 , 0934
ADDRESS= S .ilCF'il'N#::. WA 99216
PERMIT USE= 'EWER CONNECTION .... .. ...L. ...R....... ....:.. -604 )
PLATO=
eR . : : 2< y? PLAT NAME= SOM . ^ A ); TO WOODWARD PARK
AREA= 00000000 F/,..,= !– WIDTH= ... .._. . . . '
.... BLDGE= Vit. DWELLINGS=
....
OWNER= KIENBAUM PHONE=
STREET= 13112 E 9TH AVE
ADDRESS= SPOKANE.. 14is .... 99216
CONTACT NAME=
MBER= 509 927 6760
BUILDING t r., 1; ` • :i' ... j•.+ LEFT= �•-I t•. RIGHT= (.`.'?, REAR=;.:?i•:,.: .
:+t..!{.•!+:K 4!'ik 9!;•!{•.+,;*.t,•..,,..l,..y,..l,..!,;•}t. }{P.:! 3t.i!9?p.ii it P.it* `..Y:.l%d 1::.1.,: PERMIT 'P:*•.!i +i•f4***a+i i++r*..
CONTRACTOR= I ,...'..: CONSTRUCTION PHONE= 509 .... 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
... . I:M �`....... -I"•.TP I .i. i; QUANTITY FEE AMOUNT
PROCESSING ,::E Y:'
•
SEWER CONNECTION 4,:7) .
.;j. '::!?: !: +:*-!e•-A::k•1+:K:!j..1!:•;+::R••f+::!,..1j.:lj..j(.:1+..i?:*.jt*:!j..!{:*•j{••jt;j?: p t... ....... ... .... . A I•:.;-'(r ... ..
.'A M I.:.I""-.. . I !:-. .•.F:.i..:I::..,.. . •;!' PAYMENT AMOUNT
07/07/92 5206 50 , 00
TOTAL DUE- , 00 TOTAL PAID= 50,00
PERMIT TYPE 1—LL ?–il``I'...'.!i`I 1 AMOUNT PAID ?,,ii•if..?i... . . ... .. .... ...
SEWER PERMIT...... . ... ?::t. .. .. ... .. ..f.: :F ..00
50 -00 50, 00 ,00
PRUCLESEP BY : JULIF SHATTO
PRINTED ... i • :..I't.)I....I.I::. ,..;?A I . I..i
ELWEk STUB
,,i,i t..?, tINFORMATION ..ISAVAILABLE ..1.
THE COUNTY
CONTRACTORUTILITIES DEPARTMENT (A56-3604)
OR APPLICANT� LOCATE!...�.'..:1.
v
ELEVATION ANDPOSITION ... .!.`.. �'+' '!;::.
EXCAVATION
T'3 LOCATE
... ... . BURIED WATER LINES ,
CALL BEFORE YOU DIG ,:. 456—8000 )
SEWER STUBS
CLEAR
THAT THEY ARE
ECTION PRIOR TO COVER KK:kKK:lf:§hR'k
NOTICE24 HOUR