1992, 06-15 Permit: 92004357 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
'.';R,.. ,,.......•a- NUMBER=
:,:,•r•R= :::j'':,.;. 5 APPLICATION
F' , I,..i.. , ..E.. , PAGE=
THIS ji•jk;ik;e��)i•)i• t .i.,t• .!.:`:• N?.! ? A PERMIT 1!'ik:+k ik:+k;+r
I-'E uF-?L.. ? .I.{::.E ?4I].I...1... BE Ar:EE:;: il::.) FOR COMMENCING LI1iE'`K WITHOUT i ± PERMIT
-------------------
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:::. ! ..it.... 45224 , 1400
ADi1I'':E,
ADDRESS= SI'•OKANt::. WA 99216
PERMIT USE= , ,.t. R CONNECTION •
PLATO= 002753 PLAT NAME= VERA
AREA= 00+:10000: F/A={ A= {•• WIDTH= DEPTH=r•?::• ±,'_,. ..
7e of B!._a%?x,::-.... 'i •:: DWELLINGS= 3 WATER DIET ....
OWNER= ,•t.,.. H •: :•
C PHONE=
r.:
11TH AVE
F'?].1 D I''+t: S E .. SPOKANE WA 99216
CONTACT ?'`?F•'t?"±E:.:::: :I :.{ :.: I.,?.!I•q,. ! F=;I..iC ? .±.?.!!4PHONENUMBER= _?t)• 926 ... .0964
BUILDING G L:E ? BA?.:KS : FRONT= N/A LEFT= N/A RIGHT= N/A REfA?R_:•. N/A
N {Hk Ak ik 1G$ 4] Plk) i rk k A$ Pk k Nk ! SEWER P_ M „
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CONTRACTOR=#•ir..t.1i#r:::::: ;., . CONSTRUCTION iNt.....' .109 926 o4
' »I I”:I::.E:. l ::.. 11817 E:. \'fA',I...I...I::.Y u,i f•i`Tr ;::?V :.
fA DD E:...._.. :.F'fli NE WA 99206
ITEM DESCRIPTION
..SC::E: r.,..t.1.O,. ? .,N..f. .,; FEE AMOUNT
RROCESEING FEE 10.00
SEWER CONNECTION :I 40 .00
PERMIT ± 'fPE F :.L F•??"i!..U NJ f F.."'r1,. N ? T i AMOUNT OWING
r ,
`:'EWER PERMIT 50.00 .00 50. 00
50. 00 .00 50 .00
PROCESSED:'1::.1? t:{'i DOM I. i-k:[.i•V.I.C.:t-I = ROBIN
PRINTED BY : +? s i i. i•R(,i V.L!",:I..I ROBIN
SEWER .. ? !..!is AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
! .L?...]. i .{.t:.,:: DEPARTMENT (456-3604 )
CONTRACTOR _ . APPLICANT
CsLrCF [ Ts TO FIELD ,AT. AND CONy RM THE
,
ELEVATION ANDPOSITION i ?' SEWER STUB PRIOR iii.: t ?.. ANY
OTHER
EXCAVATION
TO ±_._.•..:t••! ? :::. j:{t.!i::.E..i! CABLES, .x A,.. PIPING , W,.
TER LINES, ECT,
LAt...L BEFORE YOU DIG (456-2000)
.EI!.;?-i=. STUBS ARE TO BE CHECKED D RIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
::j' i•:•i,:•d 1 , CALL E•Ei I; INSPECTION PRIOR ..I.O.i COVER 1I* •n:n:dk.ii:fl);.:,k
****4**** 24 HOUR NOTICE ?•_:?::.[:;t.!- :c'E!_r yr.1!..1,.****.y.:J;.*
...... .. ........ 456-3604 N 97'a:?::a a?•'nr s:'n-ae
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