1992, 07-28 Permit: 92003713 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,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= 92003713 .1.,:},..i.E#::.f} .....'`M... DATE= 07/28/92 ......... iia
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ADDRESS= SPOKANE KAtN1;; i A 99216
PERMIT USE—NOTE
CONNECTION .... i i.t. E...C::F ?::.,.. ? (92E-523)
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PLATO=:yc= ??!;;'; :°:' .: PLAT NAME= ...•...#._C:....).:.: I ACRES ; ,�. s Al.::!)
BLOCK= LOT= 2
OWNt:.fti^:: WILSON, '!:.i!?'d Et Li) PHONE=
STREET=f:«E 12306 i}i'{I i AVE
ADDRESS= t...'`?...1it.ANE ?:+A 99216
CONTACT NAME= AWAYS ACTIVE .... RON :LOAN ?'HONE NUMBER= 509 922} 8500
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BUILDING ::•#::. ? S'e'!:.:}•,s FRONT= NSA LEFT= N/A RIGHT= N/A REAR=}.... ... N/A
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CONTRN ' •:••,. ,.J. 1 I1�E PHONE:: ,:`i9 922 8:i?. 0
ACTOR=,. ! t...{•�!t.: # t..�#'i:::: f..t?...tht(.:! ACTIVE ,.: ...,
ETREET= PO BOX 141562
fAt D D R tt:',:.t.. " SPOKANE W/:•S 99214
ITEM DESCRIPTION QUANTITY E FI E AMOUNT
PROCESSING FEE 10.00
SEWER CONNECT 2,C:N+ 40,00
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/28/92 R3713 50. 00
.... . no TOTAL
PERMIT ;.
TYPE AMOUNT AMOUNT`'•i :{ is AMOUNT.V OWING
SEWER PERMIT 50.00 50.00 .00
150:00 50.00 .0O
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : .iiC M:;7'i'#;; VICH } ROBIN
SEWER STUB UB 6! s—BI_+ILi INFORMATION I_.. AVAILABLE AT
..r.Hi::. COUNTY
UTILITIES DEPARTMENT (456-3604)
CUNTRACIUR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OFSEWER STUB t.' ?"#':.!.t..;.'. # t..} f••i i`"'7 OTHER
EXCAVATION
TO LOCATE BURIED {•(•?B#...?::.,:+; ix$it S PIPING, ltlht ':.?'i LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBSARE BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT i '••`!:• Y ARE CLEAR {-'N t.r UNOBSTRUCTED "(_f THE #"f': MAIN
i.::)1::******* CALL i,l i INSPECTION Pi'{.?.O?"; TO COVER :')t')t A:JI iII iII 7t•ii'n:
'„.. ..}: t...J.i?' 24 HOUR NOTICE REQUIRED •tt•:!r;l;._!!.�1.:!}:'}`:J`.u.•ft
•P:If 456-3604 9C:!:'P::j..'''......'.'P: •
:,{.:(..;.:;::y !*:,;.:'.::.:!;.::y.: j:..!;.*:(.:,.:ur.,;.j:..i!:7"ti' E:c v;!.y...;;.*fj. THANK •!: J.:!k'9}..9.....1.::'3h,.....•Jt'..'P.....rY J.R'...L'•1'i`9!r'ih'J`$i'Jt..J. /.