1992, 04-10 Permit: 92001878 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)056-3675
certitythat I have examined this perm Wapplication, state that the information contained In It and submitted by me or my agenttocompilesaid bourn /appllcabon istrue
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
heremornot l understand that the issuance of this permit/application and any subsequent inspection approvals or Cetliflcatesof Occupancy Shall not beconstrued 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
E"Pd Cl..l r.:C'T N!.1 FI k+F R- 420Oii?7E7 ESUE..D PERMIT DAIo '214/i,f/92 "AIF,-: Oi
uxrt«aFxwxxnx auaiFxar '_�xRx_xri PERMIT INFORMA7 i. (7N n-a«x>a un xri-x-iirz ru.x..x..n:.:a Rxx-xxr
SIIE:: STFEL.T= 1-0405 G 10TF1 AVE:
ADDRESS= 4'ERADAi...E WA 94037
PARCEL a = 12..':544- 1 ;>3
F ELRint I:T II F.:.: SE:141R C0NNi:i:C i'10N ... WCt FCRE:ST (92 "i5)
xW* SEE NOTE *.xx
PIL A70=:: 002404 PLAT NAME= SC1 iM F{EC Fi' S ADD -10 41001%IdAF D F'AF:K
B10(.,K-=' 4 1_0 T== i^ ZFNE:.:'= SI -E DIS i:6'=:= I--
ALP_A== 00000000 F; A=: F WIDTH=TF: :.F i Fi=:: Fr"bi
AOF BLDGS=: I DWEL.. L..:1.NGS== i WATER I+IS7
OWNER BARLOW DEf
ST'I EE. T =_ 'i 3405 L-` 'i 0'TH AVE
A D D R: E.S'.5:-: VE:RADALE WA 99037
P I ON F:=::
Cflfh TACT INANE= H E S CON:1 kUC;T1: ON PHONE:: NUMx+T:R. "01V v7c, £19::4
R IU11..DING SETBACKS: FRONT:= b A LEFT== N/A RIGHT= N/A REAfi= N/A
irvxh .. x- ;i.a�i t+uRxxa..x..xnxxx..x..x..x uuh CE: LIFE FFRMI : T' •hxxii»xxR nn n: x-p:;ih r':xx Raxxnxxx
CONTRACTOR=- H E 9 CONSTRIIpTION PHONE=:: 509 'r26 8'r64
STREET-- i i 8 i Y E. 4'AI_L.E:YWAY AVE
ADDRESS--: SPOKANE WA 99206
:i: TE-Fi DE:: SCRTPTION 011ANI'I 1'Y Fi: EV: AMC11.1N-,
F"ROCESSING FIFE Y i0.00
.SE..WER CONNECTION i 4t".0(`
sa-ti xx xaaxx xxxx xn Bri xR;i xaaiixR a PAYMFNT SUMMARY xx.x.x.x..x.x..xn exaxax RR,<a xu aRrr 00..x.00.
SE:IJF:R STUB rag—BUIL..I TNFORMAI'1:ON IS AVAILABLE AT IHF: COUNTY
UTIL.T'TI:ES DEPARTMENT (456-3604)
CCINIRAC'TOR OR AP'P'L.TCANT I:S 10 F IEi:L_B LOCAIE AND COW IRM 1'EIF.
Ei... EVAT:I.ON AND POSIT:CON OF :SEWER S'TLIB PRIOR TO ANY OTHER
XCAVA'T'ION
It) I.ftf ATEi: DURIED CAkLF:a GAS PIPING, WATER 1 IN .T, FCCT.
CALLF'ALL BEFORE Tui! DIG (4156--80005
:SEWER SIUBS ARE TU BE. CiiECIrU pRI:CiR III f:OFINE:C1'I0N 10 IN�HREI:
THAT THEY ARE CLEAR ANDIJNLIBSTRLICTED TO 1'1AE .4EWEi4 MAIN
XRhxx**dk' CALA- F'OR. 1.N>PEi. ClION PRIOR If C,OVE], nRxx+xtxhx
a xRxx•xxx> 24 HOUI- NO'TIt I nll x ._x RRr•xxr:
iiR TAX ti: `M1'il 1,6 -604 Mrx <a: i`ui:rti
v:a3x -iit x-nx 'irxuii•xRxi, xxxRxRxxe THANK Yiill Raxxxxxxx>axex..x..xxa xRxfiuYxRxxxRx
PAYMENT DATE.
RECEI P I.:
PAYMENT AFiOUN'T
()4:10/92
2555
TOTAL. DUE'.::
.00
TOTAL PAID-=
1:50.00
PE:I(i91:T
T'YFE:: FEE
AMOUNI
AMOUNT F'Ai:D
A1110IIN-1 f1W1:NG
.SE::WF:R
PERMIT
_90,00
'00.00
.00
................. ..
.'.;0.00
__......-.....--....____._ _...__._._____.
50,00
_.__._
,00
F'R(aL'ESSED
BY:
DOMI'TRO'VICH,
ROBIN
NRjNTEI)
BY:
DEMTTROVTCH�
ROBIN
SE:IJF:R STUB rag—BUIL..I TNFORMAI'1:ON IS AVAILABLE AT IHF: COUNTY
UTIL.T'TI:ES DEPARTMENT (456-3604)
CCINIRAC'TOR OR AP'P'L.TCANT I:S 10 F IEi:L_B LOCAIE AND COW IRM 1'EIF.
Ei... EVAT:I.ON AND POSIT:CON OF :SEWER S'TLIB PRIOR TO ANY OTHER
XCAVA'T'ION
It) I.ftf ATEi: DURIED CAkLF:a GAS PIPING, WATER 1 IN .T, FCCT.
CALLF'ALL BEFORE Tui! DIG (4156--80005
:SEWER SIUBS ARE TU BE. CiiECIrU pRI:CiR III f:OFINE:C1'I0N 10 IN�HREI:
THAT THEY ARE CLEAR ANDIJNLIBSTRLICTED TO 1'1AE .4EWEi4 MAIN
XRhxx**dk' CALA- F'OR. 1.N>PEi. ClION PRIOR If C,OVE], nRxx+xtxhx
a xRxx•xxx> 24 HOUI- NO'TIt I nll x ._x RRr•xxr:
iiR TAX ti: `M1'il 1,6 -604 Mrx <a: i`ui:rti
v:a3x -iit x-nx 'irxuii•xRxi, xxxRxRxxe THANK Yiill Raxxxxxxx>axex..x..xxa xRxfiuYxRxxxRx