1992, 07-28 Permit: 92003040 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
PROSECT NUMBER= 9200040 'ISSUED PERMIT DATE= 07/2S/ 2
pERmiT
ADDRESS= SPOKANE WA 9926
PERMIT USE= SEWER CONNECTION — WOLFCREST ( 92S-41S)
BLOCK- 1760 LOT= ZONE= AGSUB DIST4=
OWNER= WARNER , KIM
PHONE=
ADDRESS= SPOKANE WA 99216
OONTArT NAMF= WAY.':: ACTIVE PHONE NUMBER= 509
THTirTN17, SFTBAC'KE : FRONT- N/A LEFT- N/A RIGHT- N/A REAR= NKA
CONTACTOR= ALWAYS ACTIVE.
Pu
ADDREEE- SPOKANE WA '..,'9214
ITEM DESCRIPTION �.is'
i�t,r :
AmuUw
PROCESSING FEE
SEWER CONNECTION
07/2S/92 R3040 50 , 0n
TOTAL DUE= , 00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OwING
SEWER PERMIT 50 , 00 50 ,00 , 00
50 , 00 50 , 00
DOMITROV•XCH , ROBIN
PRINTED BY , DOMITROVICH, ROBIN
SEWER STUB :•s
—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456—...160
CONTRACTOR OR APPLICANT ::i
PRIORELEVATION AND POEITTON OF SEWER PRIOR TO ANY OTHFR
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES , ECT ,
CALL DEFORE YOU DIG ( 456—S000';
THAT THEY ARE OLEAR AND UNOBSTRUCTED TO THE EEWER MAIN
'k'sK:k: KKK CALL FOR INSPECTION TO COVER :(:A:kK'JHIM
1 ..
456- 604