1992, 06-24 Permit: 92004700 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 ' isions 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 AGEN �' „'-- '^' DATE
PROJECT N!-?,{BS::.S':::.^ 92004700 .5.:.::.si.?5...s`. PERMIT DATE= 06/24/92 PAGE= 01
:,;::,,•.:+::r::i::ii::i::'is,t•:+E;r ia:;i•****ie:+s;}t• E i::*;c.:,:.*1;* pERmIT INEoRmATTON )i'*'t+:t?-*ii t i i it'*ii:is is si ii-••t+:is} it-t ii:•i+::s *:si••ti ii-
SITE E ,:rS S':5:::f':. ; = 12316 5::. 17TH A 1,'E PARCELO= 45272. 1135
ADDRESS= SPOKANE WA 99206
PERMIT !.:,.:3....... SEWER CONNECTION H.3.i...5...L.:f t±::.::: I (92E-657)
.,i:*). SEE NOTE )i••)Y)h
PLATO= 001220 PLAT i i``%AS':k:.•' HTIIOREST PARK A:..
vr
0 OF BLDGE= i 's. DWELLINGS= s WATER DIST
OWNER= r _ 1^ S : .117TH
ORVILLE S PHONE= s y: 4
3337
STREET= S :, St E Ss
f.:f e,...
ADDRESS= SPOKANE WA 99206
CONTACT NAME= S +_: 5 f••9i... LANDSCAPE SERVICE PHa.,3J 5::. NUMBER= ;:.',:19 . ....... 9545
BUILDING SETBACKS : FRONT=. t k.•s'^i LEFT= N/A A .l. . 5 N/A REAR= A
:k iu . Ca. ` stF$ 4i: .. 1S{Y •. fu SEWER : Yt vII :4 . i i "Y . . i } l* ipC {)i k" F9i k*iFJi i
CONTRACTOR= TOTAL i A5::. 5..,f:.iIJ:, .`S`.:AVESERVICE PHONE= 509 ';2 f :.':i'.Y.
STREET= -12208 E GTH
ADDRESS= SPOKANE WA 992i6
ITEM EM ?:.il:.SC:RIi` . :5:c...., QUANTITY I'EEE. AMOUNT
PROCESSING
,i ? : iys FEE: ! '
. )„
SEWER CONNECTION
.1 40.00
•y::i::t:}•:s•:* i. }.•{. i:.,::,::•:* i::i.:i.:i.s:::•i::i.:,:.d:.is j,,:,(..i,,.i,.:t,, I:::J;,`v`� E�;2 i• ,ti I S m{'' !i'C .j......... .Ssi}:r•3+i ui is;i•si..:..i+i.i�:.)si•ik•. ........t}t:i
•1�:.i.P..s. :t ..1...�.•l.i.}.u,.•}.t. 1.i.,,.tt•f.}.}. .i. r. e fi.5...!.
PAYMENT ?.?r•: ! .... S't s::.+.,1...s. 5 •d• I''. k ! 5;:++. I AS ?
ifii 24/92. ._ ski?: 52 _.:.t:,0 0
: .00 TOTAL+ 1-45... 5"f..,J.i,}.:.. '5 t;,i .'i l•}
PERMIT TYPAMOUNT AMOUNT PAID AMOUNT
SEWER PERMIT 50.00 50,00 .00
PROCESSED fY .t " aRid IOHROBIN
k
PRINTED BY : t % f) TR?v; CH;,
ROBIN
SEWER STUB AS—BUILT INFORMATION .5. AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT .:.:.i TO FIELD LOCATE.P'E 5 5::. '-f :J?,} .I„15 k!' !.!�i 1 i :.....
:....... SEWER
STUB a :•
ELEVATION :••1 N D POSITION iii- ::.S:.W 5:::' :: 5 t.?=1 S-' t I:.?5 t ' +.' F§i= 5 r•5 5::.
EXCAVATION
TO LOCATE BURIED CABLES, S_r A,S PIPING, WATER L}:N E,. ECT .
, S .
CALL BEFORE YOU DIG GAS(456-8000)
SEWER STUBS i••i I”:S:' TO BE !.:I..I I.:;.•S•.5.:.3? PRIOR -1•i i CONNECTION I i? .E:S`'k>.r!.?i'•`
THAT : 5"St:.Y A S'.l... CLEAR .s..
UNOBSTRUCTED
! fi \! . –5 . THE SEWER " $ Lk
};lPPP9 .P . CALL " INSPECTION : :I ? :
HOUR NOTICE ! . COVER p { f . .P {:�K*
tit } .vlr" ; i " - J . i ' . }. . yi .1 **
456-3604
3E**k i.**r;.*lr:•is 3i•i+i**•rE•s;a:*•t:'is:•i;•**:!:•r.'*fr Y.i s THANK T ..i:_? *)r*:r>:..iE}{}i-i.?t is:*•ii•).•ii'7.s.ii-*>i••iE•*ii 1t b:•h DF}E 1F Yt•§t•J.1.).