1992, 09-25 Permit: 92008105 SewerSPOKANE COUNTY DE RTMENT OF BUILDINGS
W. 13b3 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
ISSUED i::E:.F;.iJ.! DATE= %? 9 . ..' r:. '?1 l �. PAGE= _3 1
•. , •-: ,• -. ,-• U. -. •.... T ,• [. .. . .................. 1j. ).. ... .
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SITE LPI- 14810 E 17TH A\... PARCEL4= 45261„2705
ADDI I:: .,_:: w i:_1 A`tf_1l1...i::: WA 99.:13
PERMIT t t. r::._:: ,,±::.1/.iE:.E•4 CONNECTION .... V1::.E_:fi1..1•t'E::.,> t (92E-967)
)t-** SEE NOTE
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t” t...r..r 7 ,t:== 003220 ') ...Fir Nfif'!±::.:::: >!_11.J t r'r ADAMS ADD
BLOCK= :1 LOT. ::_ 5 ZONE= SFR
AREA= 00000000 F/A- F WIDTH=
-,, DWELLINGS= i WATER DIST
OWNER= PHIFFNER, DAVE
STREET= i4 1() E 17TH AVE ! ( } C.
ADDRESS= V ±::. !'4 r": A? r"� !... E i. A 99037
CONTACT NAME= ARMSTRONG
E'STROi, .;$,T„ : ±jy PHONE
NUMBER= 5:: 928
0:59
BUILDING „1.-•'_r.. !..,..:' : FRONT= 14 ”, LEFT= `3 'r RIGHT= :.?.. ! .. r':i' .± .... .. r•� i...r.:.:' ± '� r.:' .`; i�: J: Y:. s ��" i`d/ r1 REAR::: N/:'
t!• H: T; iC * * -lk .P:.p..lk •P: 74 '1!' -A: -P: 9t. 9k -tt * •A: * 'A: 'A: * ')i. 9k :k 14 .tk sEwER RERmiT * -Nt •Ni 'ri 'Pr i!r 1!i 'A: it- '!!i -Hi :At .P:.;li .P..Hi *.;!• J?• iu: * * * * =TC Pi * :* 9t -
CONTRACTOR= ARMSTRONG RONG t.:i. N t RU !t.t.)I`,
STREET= P 0 BOX 14282
ADDRESS= SPOKANE WA 99214
PHONE= 509 928 0559
ITEM DESCRIPTION QUANTITY ... _ AMOUNT
i.
PROD.' >`. .I.N!.r FEE Y 10,00
SEWER i.)1`?NI::.!... T .I. t..)N 40 , 00
4l 1) 5 )l I) )I) ...................... *.................... .... ...................................
, - - _ .... .Ar 'A: 'Jk * •r: 9k •1C 9t• .1C �P: 'P: 'At .Tt..P•..3,. T,..A. .A:.A. .P..1,, .1r �,, y„..µ..1i..p. n.
N::�l: •3C :!k �P: 9C '1!• 9k �P: •A: P: 'F.- .a..P•..!4 it..1i. N:.l1..P..M..N..1,: '1t �P: P: -P: ')k 'A::u::Y : ` � �[ `f !'± P:. !„'. ,:', l.1 !'! t"1(Y P=: 'r
PAYMENT DATE
4:19. .,.1.r:. 1.2
tO!AL.. DUE=
Ft`EL-,C_1E`14 PAYMENT AMOUNT
TOTAL PAID= 50,00
PERMIT ivFE FEE:: AMOUNT AMOUNT PAID AMOUNT d114:i:rpt";
SEWER PERMIT 50,00 50,00
::.,::• i::. 1
BY: J1±_tIM J, T R1.I'a .t.1.:i"I , r'<t,_trt?-ri1
ENTED .r. ! ? T t ..C1 !:{ •`r' .t �..! ?'t J. _I Et: C.1 �' .I. I : i"E ., !; + , BIN
fj
SEWER STUBAS-BUILT INFORMATION ES EtiVf•$J.E..t-?i:<1...4::. AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOROR APPLICANT IS { t f FI t:. t I T LOCATE AND CONFIRM THE
ELEVATION A t`. r_1 POSITION OF SEWER t. ! OB t•s i-i',a.1.!h•. TO l r•a NOTHER
EXCAVATION
TO LOCATE BURIED 1.: F' f _i l r t_r (• 1 S PIPING, WATER LINES, ECT,
:A!...L BEFORE- YOU DIG -8000)
SEWER c' ` i..1T:1 ARE TO BE CH
THAT THEY ARE CLEAR r"
***3,-:**:*** CALL F C:) 1. 1r
KED PRIOR ONNECTION TO INS...P;P:.
1•'4 01:1 :' i 1 t i i l: 1 10 T - f- SEWER MAIN
J. 1. N PRIOR TO COVER * -h 'N: P: * •P: 'P: $i ir: k
*:***W:****K
456-6604
*****K**************:******** ........ THANK
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