1992, 04-16 Permit: 92001282 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
PROjEOT NUMBER- 92001282 TESUED PERMIT DATE- 04/16/92 FAF;E- Oi
ADDRESS- SPOKANE•, ., .E "fps 99206
PERMIT USE- SEWER CONNECTION —
sEE NOTE
PLAT4- 002753 PLAT NAME- VERA
BLOCK- n ZONE=
....,., y. ....
OWNER- HITCHCOCK , THERON PHONE=
STREET- 13310 E 13TH AVE
ADDRESS- SPOKANE WA 99206
CONTACT i\i{::;i'i:":::: TOM STONE EXCAVATION
..., r:.{ I ;..1 i,.i'-!i::. NUMBER- .. .... 7710
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:
BUILDINC SETBACKS : FRONT,,, N/A LEFT- N/A RICHT- N/A REAR N/A
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CONTRACTOR- TOM STONE EXCAVATINC, PHONE- 509 92 7710
ADDREsL- SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY
PHuuEsSINi, 10 , 00
SEWER CONNECTION 40, 00
i-t'v! i iii T E (.
TOTAL DUE- , 00 TOTAL PAID- 50 , 00
,..•,...�. z. -UTILITIES...
PRINTED BY : DOMITROVICH , ROBIN
j:
ooNTRACTOR OR APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER
STUB
EXCAVATION
CALL BEFORE YOU DIC 56-a000)
ZEWER
ETUBE B::; CHECKED i i(•-: TO CONNECTION
24 HOUR NOTICE REQuIRED
476- 604
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