1992, 06-03 Permit App: 92003992 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
,..,,..:... ,,...:..,T .,,:,MB} 2 APPLICATION
: ON J.%A I E 06/03/92. 2 .r'AGE '•
.- is•;
t l} *fi ? THIS tS Y Ey A PERMIT ...?�P..:P.'... 9 .�k ?
PENALTIEE WILL BE : ,: ? : ,E / FOR ;O1 ! _! ,. , v WORK WITHOUT
.....�.�....�...E...R...
M......�:..
;.............................
•
•,_,._ 1 '3.'127 r» ,? !.:t'.•:I"i t.:,.»L,'!i..... .... f'...'4 —i028
' ;,, •. :..,
AVE t
STREET=
ADDRESS= SPOKANE WA 99206
'-'3::.?':r^ Ls ii•'•?::.:::: SEWER t.:t.iNN?::.t ...t.?i" . ....
:- (92E-563 )
>?..A:.}!j SEE: NOTE •P:':•P:
PLATO= 1:1`:r 2J..i,.) PLAT,
Y' `? . VERA
BLOCK= r : ZONE=
• N. rll + L I . x . '"
AREA= 00000000 % :: ' WIDTH= D' " ":
' :
„ OF
DL.
r "E. 0 DWELLINGS= 1 WATER . . . r .
OWNER= s! r„C"? _ : . , DON PHONE= 509 926 3100
CONTACT t�•,t•i i':'s::.-• H ,t z; CONSTRUCTION PHONE NUMBER= ._.
8964
BUILDING SETBACKS : LEFT= t,•' • RIGHT= ;''a t`• REAR= N/A
a.***4::4::4::4::4::4::s.:*4:: (.*4::4::4::•}+i•Pi i+!r•}!i:j:•:,i+:•1>.•i4-** ,S:E tat i:.F i E P.N.3. iA 992.0 6
CONTACT }!i'}!r ii:•Pi.i..:++....i{.}!j......}+:R:t* !t ar:1;)4:X-
CONTRACTOR=
j,:
,,TR:,:.•..,.OR CONSTRUCTION
N : N 8964
t.:?.!?�`% ? �'+.t••it.• ! '..r?'•. H 1 t.:i.}i'•%,.: ! ?'•`.3.1 Y 4 .�.i.=":"y AVE
STREET= 11E317 E VALLEYWAY
ADDRESS= ... :'Ol'•,i:ii•'3E tai' 99206
ITEM ..,z.,.. ..,..,.„ QUANTITY
,
PROCESSING i::E .. 10 ,00
SEWER CONNECTION i 40 ,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID
AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED I.N"! E.t.•i .t: T• : i+?i..t?"i.i. F i»1',t].t-.•H ROBIN
R
i '
SEWER S -» 5 : : .BjINFORMATION IS AVAILABLE A r THE COUNTY
UTILITIES
»,_.,. .,..y..,.ES ,., ..
PARTMENT (456-3604)
CONTRACTOR 'R APPLICANT ; : TO FIELD
? .L7 " : - ? AND CONFIRM H:
ELEVATION fN _ POSITION i " S _ STUB :jIiiTO
a P Y OTHER
EXCAVATION
TOLOCATE t : ? ? CABLES ,
- t : : PIPING,
.` ' t . / r, a " LINES ,r
ECT ,CALL BEFORE YOU DIG (456-9000)
SEWER
EW- _ STUBS
- iA ;E ' i sECHECKED PRIOR
R. rE CONNECTION
•NNECT .iN TO
INSURE N
URE
THAT THtARP tFAR AND UNOBSTRUCTED
SEWERTHE MAIN
{ifinii* hCALL FOR INSPECTION PRIOR COVER R} uuPPihi
: J9 ?: , r•Pt 24 HOUR ea! t ' : REQUIRED 1 1 ! 1 1
) P1G i i* @ i 456-3604
5" . 3tk ; jPir47jnr!
.......... ...............:i..(.:i.:::,i.:::i.:i.:ij.•}::,j.:}j.:,i.:,i.:}. THANK U :+. +?' "!. 1. 1. ..1. P *YO **** * * **** *** * **** *****
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