1992, 05-13 Permit App: 92003365 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
PROJECT NUMBER= 92003365 APPLICATION DATE= ! .... .... : .. ...
P:2:!t fi.it NOT V**:g::!(.t!!i
COMMENCINGPENALTTEE WILL BE AEEEEEED FOR
...............................................................................................................................................................................................................................................................................................................
I.;•
LO- 22544-0716
ADDREEE- EPOKANE WA 99216
PLATO= 002404 PLAT NAME= SOMMER ' E ADD TO WOODWARD PARK
YT- 16 ZONE= AGRI DIET4=;
!t !! DEPTH- 142 R/W= 70
.. ..
PHONE- 509 926 144'3
ADDREEE- EPOKANE WA 99216
CONTACT NAME- H
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BUILDING EETBACKEI FRONT= N/A LEFT= N/A RIGHT= N/A REAR- N/A
.... .. .. ........ .... ...... .. ...... .......:'.:i:'.:'.' - -
.:a..i!,.�t..rl..••..�!.}-. 1!.';il,.)1,. 'i:•?t;�!!.�;!!._!+..•�'il::!!.:1)i 11,�,-1f::17:'3t;;!!;�;, I - � •' 1 .::!!:'il::!!:.... )..... .. r. ........ .. .. :.:.:. .. .. .. .. .. .. .. .. .. .
i.i is
CONETRUCTION PHONE- 509 926 a964
i`
ANE WA 99206
... . DEECRIPTION QUANTITY FEE '1' ._ _.. .
PROCEESING FEE
EEWER CONNECTION
•
40 ,00
PERMIT TYPE irEE AMOUNT AMOUNT PAID AmoHNT owl'NG
EEWER PERMIT 50,00 ,00 50 , 00
50 , 00 , 00 50, 00
PROCESSED BY : DOMITROVICH , ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB AS—BUILT INFORMATION TS AVAILABLE AT THE COUNTY
UTILITTEE DEPARTMENT ( 456-3604
CONTRACTOR OR APPLICANT
ELEVATIONi
FxCAvATION
TO LOCATE
CALL BEFORE YOU DIG ( 456—a000 )
EEWER ETUBE ARE TO BE CHECKED
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
INEPECTION PRIOR TO COVER YAI:Y:** *K:i6
.. .. ....:!i.::i.:•i.:li.a:. i 4 !..': ijIRED