1992, 05-04 Permit App: 92003042 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
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PENALTIES WILL1 BE ASSESSED FOR COMMENCING r #{ WITHOUT iPERMIT•
ITE?::. ;(r�•{••, ? :::: 10'.;)0e..) 9::. 17TH ;',i i::. �'r�f`ti't.:1::.j.. .... .......... .y•: ...::;:. �.
... ADDRESS= SPOKANE f;.t.'.i 99206
PERMIT L. >}::.= SEWER ?.:I:: 'N #.: ? is?tI,,? NORTH :,t,t K;f€';i t (92S-42i )
t}i''* ,.:•I::.I::. NOTE •t?•.':ft.
PLATO= ; ; j8i PLAT ';''yAM1::.:::: OPPORTUNITY SUBURBS.. .
O K{::.H1':i'•:t!•'t:•:;`y 7 y:t , Y' t•`•--, F WIDTH= DEPTH= rt:
. {..{}" BLDGE= 4 DWELLINGS= 'i WATER DIST ....
, OWNER= i_:i...#.±?' .t.?•`?#xj^F , C; j PHONE=
ADDRESS= SPOKANE WA 99206
CONTACT
O ? : : NAME= WILCOX
I , - :: BROTHERS
R } i. 4\ ? X € eFI� . PHONE NUMBER= "ti � 534
3369
BUILDING SETBACKS : " t ± ?1 . ti!. LEFT=
t'e!'A RIGHT= {V:' . . REAR= 1:;'•t
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CONTRACTOR= WILCOX BROS EXCAVATING PI''I..iNj"::. f:?!:.•'?' ... ...:{ 3369
STREET= .i'r:.l:5 E 6TH AVE
+E
ADDRESS= SPOKANE WA 99212
ITEM DESC::rcI iJN QUANTITY FEE AMOUNT
PROCESSING FEE 10,00
SEWER CONNECTION •? 40,00
PERMIT TYPE FEE AMOUNT in} i •t•'fit n;t'J ? PAID AMOUNT T OWING
SEWER PERMIT 50,00 ,00 50,00
50,00 „00 50.00
PROCESSED BY : DOMITROVICH , ROBIN
PRINTED BY :: I)C)'1 .f!'i t:}',; .i_.. . ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT
( 456-3604)
CONTRACTOR OR APPLICANT .f.Cr TO FIELD LOCATE AND CONFIRM THE
ELEVATION A t••,..: POSITION OF SEWER STUB PRIOR TO t €.:;!`-v€ OTHER
EXCAVAlluN
TO LOCATE BURIED CABLES ; {_r!��3 PIPING, WATER LINES,
4 BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED
ti-`I•+°].EIR TO CONNECTION TO .?.i`.,.. ?.±?'t.:..
THAT :H? ; ARE CLEAR €•3?'.!it UNOBSTRUCTED ''(„t THE SEWER MAIN
•iy:•tr*ayi:yi.,,..;,,.},.* CALL ,..,{t'.; INSPECTION PRIOR TO COVER •Y+}**n..e s,.***•Fi
::r**•x•:,.•*.tr:,* 24 4 ?••?i.:'U!Y: NOTICE REQUIRED 4r•}: i.s.
? 4 PP : : M1 tt 456-3604 PRi*i i. 1Yi
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