1992, 06-04 Permit: 92002259 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
: a > Et. r ; ..%` ti „.„.= 9200229 ISSUED PE {~ I' DATE= % ^ . ; r 92 PAGE=: _
" a:�1
) r***ai *3r*t * ti ir :: r r * r 3i i ** PERMIT L ? . Rv wTI )t ) si *ii ) * :ii .} iY i ) rsF r : a r
SITE STREET= 3 •h218 F 1 4TH AVE PARCELO= 725
ADDRESS= SPOKANE WA 99216
PERMIT USE= S» WErCONNECTION
ON: ErT .LN . � ? : + .S ? (92S-320)
*i'•§ SEE NOTE 7i•ii*
PLATO= 002753 PLAT NAME= VERA
BLOCK= 178 I._O'T :: ZONE= SFR i .;. .T';;: :: F'.
AREA= 00000000 F/A= F ISI:FIiTH:= DrF F'`T I= R;W= 40
:: OF BL ijGE:::: '? e: DWELLINGS= 'I WATER DIST :::: I
OWNER • p : I?. ETOf.14TH
, s sl PHONE== I
STREET= 13218 t '1 4 i l l !A3 is F::. I
ADDRESS= SPOKANE KANE WA 99216
CONTACT NAME:::: H & S CONSTRUCTION PHONE:: NUMBER°:::: 509 c:::"; • : 964 I
BUIL.DINf. SETBACKS : FRONT:::: N/A i..Et=T= N/A RIGHT:: N/A REAR:. N/A
I
t�F"F' PE::Ri''t..
1F�.•7k jS iE!i•9t•)l)k•lk tR•Jk ft N:}l••i{•7!:-•h:•9!:N•}l•}!:}t:•4l!!:9l ir.••P:•P: ,3 i:, i;. i t 3r:•H:3{'li•yk 3l••it•*•tt ik 9k)!:*'A:St:1±•'P:i!:-P:'A:-P:it••i!:•ii•N:)l 4i 7s•it 3&
CONTRACTOR= I & QONSTRUCTION
PH. 509 926 8964
STREET= II8i7 EALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10.00
C E ?'. CONNECTION 40.00
i + {*** i i***ri*fi *fik i *x a in t s**** iPAYMENT th " 3' ! k MP7At Yai ;Nhi1k 1i6 i§ } (Ah14l :
PAYMENT DATE !•.t. E I F'T ie PAYMENT AMOUNT
06/04/92 4187 50.00
TOTAL ,: » r. TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.:00 50.00 ,00
50. 00 50,00 .00
PROCESSED B : 0O' FTRO,: iH, ROBIN
PRINTED BY : DONI=ROV. C" , ROBIN
`EWER STUB AS—BUILTIN
_ORMA" ION !
S AVAILABLE AT _ "„ COUNTY
UTILITIES
DEPARTMENT i ( •tJr5•. 604)
CONTRACTOR t.!?�T•R!'ti:;'T'C.lR t:iR APPLICANT IS' TO F:#:E::L_I? I...CI[:haTE:. AND CONFIRM t ;..l::.
ELEVATION AND POSITION jr' SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE :BURIED CABLES,, I,9A,`.> PIPING, WATER LINES, ECT.
CAL..L.. BEFORE YOU DIG (456-8000)
SEWER STUBS FARE:. TO BE CHECKED F:3RIOR T; CC.it'NEC.. ? ICM TO. INSURE
THAT THEY AI";I::. CLEAR AND UNOBSTRUCTED ? t_: THE E ,?•E ER MAIN•!a•3t•)t i43tu:*it CALLFOR INSPECTION PRIOR TO COVER 4!:'N•**•14**Y'**
iF*N•k•)>:k fi:ii* 2,: HOUR NOTICE R!:. {`t.!I R E D *••it:*•i*.,t:)_.i;..,; ,:
�..•r
456-3604 ;{-:u.;le;ai:N•:!!i itt 3ti•Ai 9+i
*4f:****************************** T ^N: 3 L t ) 99 } } l R :! 7fif i t d fii:ta• : ' TFi k ib 99
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