1992, 06-04 Permit App: 92004016 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
,i , F :_ NUMBER— x20040i " APPLICATION
` '. ? ! { J ! ' • -- OA/04/92... PAGE=
: .. .
*n::t *:t ) THIS IS t t e PERMIT it..j!.:t...j!..,..,,.
PENALTIES WILL BE A,:>[:>i::.:.'.•:3 E D ,..O I COMMENCING WORK WITHOUT A PERMIT
.. R .... .i .':•0,"; !:' 16.1.€'I f^t i'`{:.}E'C i..:i::.i...:;,:c:: 't •;4 i —10
ADDRESS= SPOKANE WA 99206
PERMIT E..!i »:.= -. ,.. :•E::.i CONNECTION .... :a ::. tf•}E..:i'•:!::.::? i (92E-565)
PLATO= 002753 PLAT NAME= VERA
BLOCK= 191 LOT= ZONE= UNK I't i E i ai.::::
AREA= !::t!,;t°fit';?!:9::j!,. E"i {•"•}:::: I. WIDTH:::: DEPTH= i{
.N.
•tr 1•.. � • r irWATER D ` I =
OWNER= DRIEKEil PHONE=
E i^;E::.E::. t ::.. t S:t,•'., I: 101h ii!`1`I:
ADDRESS= t.'P nK AE••'t.1::. WA 99206
CONTACT
cs T NAME=
9 r
CONSTRUCTIONPHONE
i` . NUMBER=
t t ; • 5
? % 926 . ;
BUILDING : ! i :t , FRONT= .. «' ;= `/ RIGHT= N/A .rA
.... ...
)4)ti)tr)ti•Pi (.)i:pi)6)t.j:. (.:t,..j,.:t,.:t,.:t,..tt..yt..N.:,a:ar•jtr.ii.j,:�t..a:5t:9:i EI I•+.` PERMIT jei-)ti-R•j{•*.jti•j!i•Piiui*7t:iti7+i-j`i*•Ai•Ri3k•hile.7!i*ai§•fti•hr*•j!r•jt*
CONTRACTOR= i. C:' E CONSTRUCTION PHONE= '�>
8964
STREET= 11817 ±::. •,;ra; i I::.'Y'.I{::}`Y' AVE
ADDRESS= SPOKANE WA 99206
ITEM is :'••i E''`.Ii'' ± ICN QUANTITY FEE AMOUNT
--------------
PROCESSING FEE Yr #
SEWER CONNECTION.i.Oi`t 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AOU } OWING
--------------- _____________
SEWER PERMIT 50 ,00 , 00 50,00
50,00
z'i•=.'1_tt_._ ) •y:;'+{' .j...ri.i. t �`' t :i"I ROBIN
PRINTED sct !:i`r . l) 3 i`'E... •' OV... ... ..I ROBIN
::;1::.W!::.I t. STUB AE—BUILT INFORMATION IE AVAILABLE t• ± THE COUNTY
(•v..:6.... ,r;0
UTILITIES DEPARTMENT `... `. )
'..:Oi4Ti't63..:T>.:i'•. t.:i'•. !•!Pt"L..1.?.:= I'•? ; IE TO E'- 1.!...i...3.! LOCATE •? '.31 CONFIRM THE
OF` i.'u:
ELEVATION {••!s--a.-! ±.:t..;::..;, ; �,!t::-; ,.?i::.t.y-.2-; STUB PRIOR i,i ANY OTHER
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, i::.:..: i
CALL BEFORE :-t t S t DIG (456-0000)
SEWER STUBS ARE TO BE CHECKED PRIOR: TO CONNECTION TO .;.s'!<':I.,iRF:-
THAT E 3'iE::.Y f"1 K F CLEAR t•a E`d!? UNOBSTRUCTED
CALL t # ? ` "iiif TO T l" SEWER ; i
hkj : P97ki ' : INSPECTION " : tOR » „ COVER H4N 3
N !
**** K*** 24 HOUR NOTICE i ItE::. i U.E.I';C:. t 3,-:*********
'.
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