1992, 12-28 Permit: 92011175 SewerSPOKANE CAW@TY0EmAot��ENT ()F BU|LD|N[�ANK}SAFETY
"
N/.1-303BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(600)456'3675
|mmfymoUhovv,mumui^x��,vom`ioavv|ic�mwthat
the
wocvmn' and authorize Spokane County /ouooao^,/have mad and understand the |NSpcCrm
— r— —.. ..� ..— —nrnl� ilh it... Ali— a a of laws and ordinances governing this type of work will W col
give
authority Ic
laws Iul.fing
APPLICATION
DATE —qw�
PROJECT NUMBER= 92011175 IvSUED PERGl I DATE= 12/,'�',/92
PERMIT INFORMATION
SITE STREET= i08\5 E iOTH AVE PAkCEL:Z= 452 i3.FiT3
ADDRE%J= "PbKAKE WA 99206
PERMIT USE" SEWER CONNECTION — OLD i"RCHARD% (Y2%-1236)
SEE NOTE ***
P = 999999 FLAT NAMI= R&H[[
BLOCK— LO[= Z0 [= UR --3,5
AREA= 00660662 F/A= A WI6TH= DEPTH=
:4 OF BL8G%= 0 DWELLINGS= i WATER DI%T --
OWNER= EN/ CLAR PHUNE= 507 92� 11'53
.STREET= 16815 E i8TH AVE
ADDRESS= SPOKANE WA 99�06
C6NTAC7 NAME.:::: TRIPLE .7 CONSTRUCTION PHONE NUMBER= �89 9`7 825�
BUILDING SETBACKJ: FRONT= N& LEFT= NA RIGHT= NA REAR= HA
SEWER PERHlT
CONTRACTOR= TRIPLE. S CONTRACTING PHONE= 589 927 9��6
JTREET= 11322 E BROADWAY AVE
ADDRESS= SPOKANE WA 99286
ITEM GES[kIPTI0N QUAINT ITy F[[ NT
----~~~—~—~~~~~~~~~~~~~—~ ~------- ----------
PROCESSING FEE y I o 00
CLWER CONNECTION i 1 88
PAYMENT SUMMARY
PAYMENT DATE KECEIPT4 PAYMENT AMOUNT
12/28/92 i 50
~~—~~—~----~
TST&L DUE= 00 TOTAL FAIvi- 58�00
PERMIT TYPE [EE AMOUNT AMOUNT PAID AMOUNT 0UIUC
~~~~----------- —~~~~~~~~~~-- ------------ -----------^—
SEWE6 PERMIT 5D�D8 5G�08 6G
------------- ---~~~~~—~-- ~------------
50.GG 50,66 .00
PROCESSED By. D8HI7KhVICH, RO8IN
PRINTED BY: DOHITROYICU/ ROBIN
SEWER STUD 4%-11HILT INFGRM01lDH IF AVAILABLE AT THE C8UKfY
UlILITIE% DEPARTMENT (4!:�6-3604)
CONIRACIOR OR APPLICANT I% TO FIELD L0CA7[ AND CONFIRM TH�
ELEVATION AND P6S11IUK UF S[WER JT3R PRI0R 7o. ANY OTHER
EXCAVATION
TO LOC&TE BURIED CABLEy| GA,T PlPIUC, kATEX L�UEJ/ EC(�
CALL BE"FOR[ YOU DIG (456~8800)
%EWER STUBS ARE TO BE CHECKED PRIOR TO CUQ [CT78N TO
THAT THEY AR[ CLEAR G %7 C D TD THE CEWEl'z hAIH
CALL FOR IN2PE T 0N PRIOR TS COVER
24 HOUR NOTICE REQUIREI,
45c�,~3664
THANK Y8;