1992, 02-21 Permit: 92000726 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
PROJECT NUMBER= 92000726 .{.S:.••,..??::.1:+ PERMIT
i;f::7TI:.. 02/21 /92.... i"'f'it:=?::.:::: +:ii
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,;. ! i r' STREET= 10822 :... 20TH AVE I"`f?Ft`.1..:..:.{.......... 2042—.200i
tii%?.?F:k:.,•,:::" SPOKANE WA 99206
PERMIT : i : ta : ! CONNECTION . J {{ iC „ i _ " ? (92E-75)
F;.* . SEE NOTE" 3i•'i+:)k
PLATO= )» ? : : ? PLAT NAME= fit.i??t,F i?"?[.S TOWNS.!_. I #::. +. ..
BLOCK= LOT= 1020 Al, i B D ''
A?°:+::.,..;.... ;.t,.»},;a::a?::t:i?»t'::t r•,'r..[= !:: WIDTH= l{:::{::,T{..{:_: , ,lE,,i::. 60
0 O!" l:sL ijt;.,'�.:::: 't 0l.......DWELLINGS=�,=
is:iixi{`J{::.R:::: O;s':C(iRNJE: ALLEN PHONE-
STREET-
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t{''F:..{..-I-:::: r) : :.':' F 20TH AVE
+:i1)i:F':F:.,.i,_ .. SPOKANE WA 99206
6
CONTACT NAME= ? L. [• [.:O f•t::• ! ?'`:i..?t..T I?,,,!ru PHONE N[ii'•i tER:::: 509 927 6760
N/A RIGHT."' a` t REAR=BUILDING SETBACKS : {•'!'_:[.�?'�! I i�:; r.:i LEFT:— ...
.... .......... .............. ......... .. ... ... :•:,...,, F ,.:,,.: N,.
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CONTRACTOR= t'i C CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SF`?..it',AN?::. WA 99216
ITEM i:1::. [.:?':IF''t ION QUANTITY FEE E AMOUN i
PROCESSING F:'+::i:- ;r, i0, 00
SEWER CONNECTION 40,00
7+i 8+i:':l+i*i4i*'t+r 4•1+i $:t+i$l•**-A:-;t:4k•1+i*lF-ll}+i•lk iE:l+i•Pi a+i 9+i•A•3,r {"'A y?'!!::.!''[ ! :::[.i m m A:i Y **•Fi•1+i R•ri 3+i i{•$i'Pi 9+r•1{•3i..Jk'1+i i++i•1+i'Ai i++r'R•inr$+i i++i.p:P::Pi-hi*
PAYMENT DATE E FtE[.:E.?.! I .fl. PAYMENT AMOUNT
TOTAL02/21 /92 1110 50,00
U') TOTAL [ A.Lt_t:::: 50,00
t::.t''•.?`'i:, ? i ??'F:: FEE E AMi 0i„iN ? AMOUNT PAID AMOUNT OWING
50.00 50,00 ,00
PROCESSED BY : DOMITROVICH , ROBIN
PRINTED BY : DOMITROVICH; ROBIN
SEWER STUB fi,:..—;:tUIL ? INFORMATION IS AVAILABLE A_. THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I,`; TO FIELD D i i-i;�'A-t"I�� AND CONFIRM THE
ELEVATION AND D s••i..!:`.:: ?:....{.i.N OF SEWER STUB U PRIOR TO to N Y OTHER
EXCAVATION
TO LOCATE BURIED [.:f t :I '.,:: ; [::[t i•. PIPING , IiiA_i.I::.R LINES, ECT,
CALL
- . BEFORE. ::O,, v:•r:- (456-0000)
SEWER STUBS f-i!'ti?::. TO BE CHECKED t”`R.{.i;;eR TO i C'-iJ{'J{:::t_::T.1:;.;i•u TO i ! i••t::•.U?•t1::.
THAT THEY ARE CLEAR
CALL : % UNOBSTRUCTED
J i ' THE SEWER MAIN
y .r { kflh } l3 :: R INSPECTION PRIOR „
COVER
} ? k k Rt k t Pi
R: ) *a **! 124 HOUR NOTICE REQUIRED i,:**)•`.*:R.!`jt.*j:.
...E.. .... .H.E.E 456-3604 ;.je;.j,;.je..}f,•-je;•j+;:J,'.*.3,..
::.::.* r.:-.:•.: :.r.:•.:'.:,;.s:a,•.:'.* -.a:.:(.•'.::.-E.:..:t.:E.:E.:y.•• {.:j.::.:,t. THANK i� ::1..?t I !t 1N'M..t:.i+r? .:e.L•......X-1`9??!..,}.,,.�;.#1'•i+:•i++r i+i T:i`-)t•9:f`i+t i+7!+r??*
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