1992, 06-02 Permit App: 92003916 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDIK ,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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PI".O,.j1::.?,: I NUMBER= 92003916 APPLICATION ZA E- 06/02/92 A . E -
E ••rt)rt)t*** TH:I. i. NOT t PERMIT *u•))i•itpzr
PENALTIES ( ].LL BE::. ASSESSED OR COMMENCING tj ORK WITHOUT A
PERMIT
SITE STREET= 10717 E:: 16TH AVE PAR ::1=L... :=: 21543-1806
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION NORTH Kffl Cif'Mt (92S-531 )
)
*)t* SEE NOTE **•*
PLATO= 000553 PLAT NAME= CROC;CT ADD.
BLOCK= 'i LOT= ', ZONE=E::::: f GE^.:I. DISTO= E.
AREA=f•?:::: t_/A= I.• WIDTH=
DIST.s SI x• DWELLINGS= I WATER F1 E::.E"•. ....
OWNER= c:RCic;?x, C H PHONE=
STREET= 10717E 16TH AVE
ADDRESS= SF'LJKANE:. WA 99206
CONTACT NAME : ALWAYS ACTIVE PHONE ttE
: Y 509
922 " 5r '
BUILDING SETBACKS : FRONT= N/A ; EFT_ d/ 1 RIGHT= N/A R:FF:
ESE:'f)
•jli)!:)t•:n:•••:<•h.jt•it.•..)t)t Ni..•Li•hi•Ni)i•...P:)t h:•..Pi.n.•. SEWER „ : {' . ,
tt•.,(. ,.*.,,..lt.*y,:'fi:9i'*'ft:!:•1k*)`:)t)t)t)t*)t•17i)!:t!:):..l.
CONTRACTOR= ALWAYS Y : �! � � l � PHONE= r : 9 922 8500
STREET= PI BOX .141562
ADDRESS= Si-:OW ANE WA §9214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FE::E:: Y 10.00
SEWER CONNECTION f j 40.00
PERMITFEE AMOUNT AMOUNT. PAID AMOUNT OWlNG
SEWER PERMIT 50.00 .00 50.00
50..00 .00 50.00
PROCESSED BY : i�`I:ETIiC:i1�]:+': ROBIN
�:jtj .Il , E�l.iµ 1 4
PRINTED BY :: Dc:iM:r f ryC:iv.1 CR, ROBIN
- SEWER STUB AS—BUILT INFORMATION
IS AVAILABLE "f " rECOUNTY
UTILITIES :E-A" rMEN
(456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER TU PRIOR R O ANY OTHER
EXCAVATION
Tp LOCATE BURIED CABLES, GAS PIPING; : WATER LINES,' _..
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED EE:j f=Ic..!.t.tE+ TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UN?.!t',rrT ":S C_:Ik'!.1 r1 HE EWE MAIN
•j�:_":•j°��'�:fii•)<••x'n• CALL ••C:i E't INSPECTION PRIOR •:�TO COVER hr•!!i�:)t)t•lt.�)G•�:•;:.•vt
*)Tit•)•*h ri '4 HOUI': r ?JI .I.C.;Eq:. REQUIRED it •*k•****j;.*
*N:•)!i illi* :)!iki**)t)t•*A•*)t)t)t****** •-t{.::.li•••:!•:,i* THANK Y0 U •*•jt Ni**)i•)t Tuih•)!i***/•)•)t Y•**)t)?•**)t)t*h-;a;***)r,.**