1992, 06-02 Permit App: 92003934 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
i•'I•tE E.IEC } NUMBER= 92003934 j:;':%:.,4 (`•ti' 'i....i.i_:A •.i.!.iN • DATE=i i;= t_jr,;'%j -/ 2 P Ai.:rE::::
•3!-9!,-g+:.?s:a+.is'i THIS .}.,:> s•t?..t s GaI"}::.R S"}a. 's *.j+:*j;.:?s:*
PENALTIEE WILL BE A,: S}::.::.E '3 FOR R E,:i j:`%+.E.»iii.•'' WORK WITHOUT PERMIT
:.r.. . .... .
13418:.. ! .... . EssAVE h�ts-,!.:...s...•::.... 22544-2470
ADDRESS- ... . ..`tiif'il''•E WA 99216
PERMIT UEE= SEWER CONNECTION — WOLFCREST (92E-548)
!i''jt')!• S E::I.. NOTE .3+.stt-}!.
PLATO= 002753 PLAT NAME= VERA
BLOCK.. 179 LOT= HONE= AGRI DISTO=
AREA= ?.:i+i:) )O c:(:)s t /A:::: F WIDTH= DEPTH= K l
•:r ;,t.. :.'s...?_?la:.:.... t 0 ?..•"Ir:1E::.E...'s...s.Ns.x,:..::: '} WATER E".E ?.E.EE ....
ADDRESE.. SPOKANE WA 99216
CONTACT N1::::: F'!E...w r:-•t'`f'; ACTIVE
SETBACKS : G ! ! i + EPHONE NUMBER= !
- 8500 j
BUILDING
• . I , NG iN" . / s LEFT= N : RIGHT= N/A REAR=
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::•E::.r?E::.#". s G:.f"t}`}... ! .j,.:M..ji j{..)sr'jt•jsi isi Pi'3t dsi'Pi'Ni*i¢.ji issi:){'t:i issi Pi'Pi isi isi*•}f•l:i•Ai**
CONTRACTOR= a i . "i; ACTIVE it `< _ 509 ........ 0500
ETREET= PO BOX 141562
ADDREES= E i"i.J ic. i i'%E::. WA 99214
ITEM E::.}} i(::.:: t.R P : -;,,iN QUANTITY FEE AMOUNT
PROCESSING �'i::is10„00
,::E::.W E::E•'; CONNECTION E 40 .00
PERMIT TYPE :...E::. AMOUNT t•i i! Ei'N T s,? AMOUNT OWING
is:.i,ai::1'4 PERMIT 50,00 .. .:j ?:s;-j:.;:?+,:j
50. 00 ,00 50 . 00
E'E";iit.:E::.,:z:':E::.?—? ?:'Y : i.)OM.i i'i1. b ti..:I..I , ROBIN
PRINTED :i.'. - 'f M I?•F I,,J I is±d '-`.0. :f I N
. E.. I-: c ETUB AS—BUILT INFORMATION ; i AT THE COUNTY
CONTRACTOR .... . APPLICANT +.:.r TO �' �.E::.E...i? LOCATE _f•i}'~j S1 i..:t.i E'Y E•• .t.+;E? ? i'31::.
ELEVATION AND POSITION OFSEWER ...ETUB PRIORI O A`J.Y OTHER
EXCAVATION
TO LOCATE BURIED (::: It . : r A,:; PIPING, WATER LINES, ECT ,
CALL BEFORE YOU DiG (456-0000)
•E::.I r STUBS ARE i:. TO tt E::. CHECKED PRIOR E ;i ti:E}31::. i N'2 E O .E.i'•?;.. ... t:E::.
` �.r '
THAT i HE::. ; ARE CLEAR ("N i UNOBSTRUCTED TO IHE EE.:.WE::.!`: MAIN
.n::s:. si i'•'•'k.+:.: CALL FOR INSPECTION PRIOR TO COVER *'Jt'P:P:•P:•Isi ui isi si*
****** K* 24 HOUR f`,t,E t .i•• ;E— +E i —v ***;ir*issi*ii.•is?-*
.... ....
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