1992, 02-20 Permit App: 92000923 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 pfoceed 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 NUMBER::: 92000923 APPLICATION DATE=E.''= 0 :./20/92 PAGE= 01
'* m'i~ THIS I: IS NOT T Aa PERMIT J i(*•P.•A•P:
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE I'E. S ( REE.) :::: 13120 F. 9TH A k E�{. F�ARCEL„:= 22.,44....0.33
ADDRESS= SPOKANE WA992.1 c,
PERMIT USE= SEWER CONNECTION i ION .... Wi+LFC:ice°E::;ST. (92S-110 )
•}l A:'J{ ,:•;:.E:. NOTE :*..P..
PLATO= 002404 PLAT NAME= SO,ME ' " ADD TO WOODWARD PARK
BLOCK= I:::o t =
4 ZONE= sN K , DI i „- i:”
AREA= r , a - ' tii1t - Iii ?EE - i- 142 R
/, : }0
0 OF i _} GS: n DWELLINGS= WATER DIST
....
OWNER= WENDELBURG, BRUCE ,E: NANCY PHONE= 5E... ....1 4719
STREET=••• •I . ! '0 E ?'THHA' 1:
ADDRESS= SPOKANE WA 99216
6
CONTACT NAME= CO lRCrFTN E EXCAVATION PHONE NUMBER- 509 924 }= t
i
BUILDING SiT- iC ? : : FRONT= ! r fLEFT= 1%hRIGHT= 1 % i REAR=i; � a A
J P *A k A x} A A n*} •A A A A K i{•ii:!{it:*A•it.•9i•N:••}k b: SEWER E'`':.i't#"#_. A ik•}!•*P.'A:**ik R•A:ik i':it iC•!<••R h:*u:•}C Jt:*•A:4t 1t:*•A:•P:•A:
- a:::
CONTRACTOR= COURCHAINEqCONSTRUCTION PHONE: 509 9:: 4 .. 48
STREET=# = .16d4 02 E ,A1..i...t::.Y WA is
ADDRESS= VERr3DAi...± WA 9903
ITEM DESCRIPTION QUANTITY FEE:. AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION 40 00
PERMIT i Y � AMOUNTFEE AMOUNT PAID , MrlN .)W Ni_.
4
SEWER PERMIT 50,00 :.0+.-) 50 i 7 i�i
50,ti } :}4:> 50,00
PROCESSED;>,:;E:.D BY : DOM1. # ROV]:t::H, ROBIN
PRINTED ED a'{Y : I)Oi!i.Ti GtVI:i::i•j, ROBIN
SEWER STUB UB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
E ' DEPARTMENT 456-3604)
CONTRACTOR O#'{ APPLICANT IS TO FIELD LOCATE i AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE E BUR.i.E!? CABLES, GA,; PIPING , WATER ER t....#.N :.,:: , ECT,
CAi...i... BEFORE:E rOt., DIG 456-••i{000?
,J E t t=•s,k ARF (::i ( F CHECKED 'F;:i.c rt TO CONNECTION TO INSURE
Ii.;A I I ::L Y ARE t.,t...E A1 AND t..!Nt.!!:s::> # #'t:t_tt.: I t::.D 10 ; Hi:. #"#t.:,.#.N
it•Jt it•P:it 4t it i,.i,, CALL t..t.}F INSPECTION PRIOR
! : COVER R Pt A4 iuPi *
i *N*riiiiF HOUR NOTICE REQUIRED tai ! piiiY
i{ili i�r Ar•Pr•P:•Pi-}'i-Pi 456-360•tA .Pi)+..H..jt.*.•p.i{.P:it.3Y
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