1992, 06-23 Permit: 92003990 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
"if !±.CT NUMB C. , 92003990 ISSUED E " . DATE= 06/23/92 PAGE= 01
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ADDRESS= SPOKANE WA 99216
PERMIT E,':•f....... _,::•?::.?.t#::.±'•. CONNECTION t;u i j#... �!,.!^•.,• (92S-56i )
,"?. A ? r..._ 000212 PLAT NAME= BLAKE & {•'7»•i t`•?:`•O('d SUB.
E##p r; .
Rf•!t:::: #.. �r.�:::: F ::511 1
o .._ t'::''•-.:•' :-, ,: DWELLINGS=
. ,_.. ,.t:.. WATER DIST ....
OWNER= VICTOR, STEVEN i...`r N ,i f_j f'•i PHONE= 509
STREET= 13718 E 9TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT
+ w_ A ,eNAME= s it , � ;% , ±
. _ i RIGHT=PHONENUMBER= 509 , . 8964: =
BUILDING SETBACKS : ' ^ LEFT= x - E ` " REAR= :. :
.ti,:K '.:•.::: * a.:::,K s:.:::::i.:i.:,i.K ,:.}i.:I:*:,i.:i. :,i.:i. SEwER pEPNIT :},::,i.•.,:•F:*:,:.,:•:},:•j,:'.y-.;u:.i,..j,..i{.'j,:.i•.•::l±:•:a:.ji..j* ±::,?•9!::u:ii:?:'jt: !:
CONTRACTOR= {..? t• E CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E 't;'Ii#...?...E-f i!•?A r A 1;E
ADDRESS= SPOKANE+..?kANE WA 99206
ITEM DE t.:RIi.. t .?.ON QUANTITY FEE AMOUNT
PROCESSING FEE 10.00
";EWI::.R CONNECTION ±j:. .. ..
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Y±.•t:::r•!t'j•.P.!,.:,.!•.:,.A.!<,}t!; ,t!,.P.!•.P.P.:t•?...1,:.1...Yl..t±..},..l,:9,... ,. #.:{..i i?"?:::.{y..;. :,,,1{`'?'t t:#•t''[ .•i Tt.i.
PAYMENT DATE ,y, ..i 1.: , PAYMENT AMOUNT
06/23/92 'S :'7". 50.00
TOTAL DUE= . 00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT
OWING
-------------
SEWER PERMIT
f•,ly...r :::0 0/) 50.00 00
50.00 50,00
PROCESSED A i� : i)I j 1"I.1...`.N i.J t .L 1..•t-: ROBIN
PRINTED ::S•Y• • i?T._?•'#.`,. F':O't. ...C?..?, ROBIN
SEWER
iF. R STUB AS—BUILT
S. itrEI1 %i " ;Ma
= i _ } IS AVAILABLE AT ' ; rCOUNTY
UTILITIES DI.1:;AR "l.i
.4°.6-- ...... ..4
CONTRACTOR OR
Al: ? . t ( 4 IS TO FIELD LOCATE : #N
FfM ' "
ELEVATION { \% POSITION F SEWER STUB PRIOR ? tANY OTHER
EXCAVATION
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it I,!t, i•• !;�,!'•.!. j k-.F t:. •� WF• i 3; N. #. f
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS .;,�`t .. CHECKED
., : � i i :"t»� PRIOR ..`.,.z
CONNECTION ' : INSURE
„ ? C?
;T T " _} ARE { ' d ; AND !NO {; Ti1 "' - ' THE SEWER MAIN
a. . ERrtNA , A! ? FOR INSPECTION
PRIOR : '_! COVER ******KK**
;,;,;,;,,,;,,,,,;,,,;,,,;;,,j_..,;. 24 HOUR �a,
t„I , .#.i..• REQUIRED ?..:is 3r}t*:r•n'•sr::
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*} i a*tR..• tt? .!.:! ? " d ::a : :! t i ! *: * : :: aa:: : THANK you iai:i t . jjj : . j *:Yj :K:i*§*} * i) YK* K