1992, 07-28 Permit: 92003916 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDIN.,,S
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
PROJECT NUMBER= 92003916 I SS1JED PERMIT DATE= 07/28/92. 2 F''AG •
•• • • • • titii titi1i *} „? **J 1 ! t 9 x*iiPERMIT ! NEo' "fTrOf t ) , r r r*1s7ri
Ni *riiaiiiti *ii ?:
STREET=t. .. ...»..
SITE(E <:T i_E # = 1 0 7•? :� E 1 6 i?••I AVE
r ttft:_:?::....,l. .. 452.13. 1806
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER. CONNECTION •_• NORTH KOKOMO (92E-531 )
is** SEE NOTE ii**
PLATO= 000553 PLAT NAME= CRLTG ADD
a
BLOCK= '? LOT= 6 ZONE= f,.G. I :"
AREA= F•/A= F WIDTHP.WA DIST DEPTH= j W=
•W OF T:�I...DGS.... 1 „: DWE?...L..INGS:::: i WATER
OWNER= 1.•rt:C}t,G, C F• PHONE=
STREET= .I 0 7'i ` • 'r.:: 16TH I»I A a'F
ADDRESS= SPOKANE WA 99206
CONTACT�,, NAME= ALWAYS ACTIVE PHONE:: NUMBER= 509 .9:•,2 r..:-.:..
BUILDING SETBACKS : FRONT::: N/A I...EFT:::: N/A RIGI•'1T:::: N/A REAR= N/A
ii#i':it•*tii'ii A it it ii a i>:k•it•*X•tit•n i+:tit'tii it•it•*•'*i~•a; SEWER PERMIT ii•tit tii•*ri;':it•ii tit k**tii*tii*tiR tit ii tit i+::++:a:n:1,::t.,,i+:; ..
CONTRACTOR= ALWAYS ACTIVE? PHONE= 509 9« r 8500
STREET= PO BOX i41 .5
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY r ... ^ AMOUNT
PROCESSING FEE Y 10 .00
SEWER CONNECTION i 40 .00
i~tit-i+:i,:•tit•ii i{R i+:ii*it••'r:tii•**tii•tii•ii*i>:*ii it ie ii-tii:i<•it•ii•it PAYMENT S_}M M A R Y •it••ii ii tii a ii•n:•ii•ii i{ii ii•i,:•**tie*ii•ii it.: a:i+:ik ii•tiy:*i
PAYMENT' .,_ R DATE FiEC':E IF TI PAYMENT AMOUNT
7'.
0 28/9 R$916 50.00
TOTAL# AL•. DUP.:::: .00 TOTAL P-AID:::: 50.00
PERMIT TYPE
. F EE:. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY : IJC1.i T TROV I CI , ROBIN
PRINTED BY : DONIT•RCii'IC•FI, ROBIN
l Eh ^RiI -BUI1AS—BUILT
INFORMATION Ii AVAILABLE ; t ; S " COUNTY
„..IzEl ; iEIEC (456-3604)
r :x- AND AN
CONTRACTOR OR APPLICANT IS f O FIELD LOCATE D C .1N,' IRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL
BEFORE YOU DIG
(456-8000)
SEWER STUBS AREtTO i BE:: ,:E•Ir.:.C::It;E:.=? PRIOR '•1:? CONNECTION TO .+.NSy...;,
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE EEWER MAIN
i>ti+:ii 7i u i+:ii•ii i>: CALL i"i.i F INSPECTION ?..rti1.+_?i TO COVER •it•;r:in}+:ii*i+:*it•i+:
i i¢i!•*ti£ie*i :!• 24 HOUR NOTICE '•'w? :.'s i.i.r'•.?::.T) i!•3!'•r.'a!'•r.•gr*:»•* !•
if:i it•$:ii•ti+:ii'i{it' 456-7;60)4 il•ii•P:tiK it..f;;:Jt..jr t,..i(.
4 *33t: * M: h H Jj: ji „YJw F 9 i : !} : ? H) 1 THANK
i: ' Y . ) ) ) ii ) f ) f . ) ) rk) . i . . } ' ) *It J! Y*i *) f : !