1992, 10-01 Permit: 92008320 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 s .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 p t/ap. icatio,•nd an subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or ca pr.. o sof stat-. loca a !ting construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construc i
SIGNATURE OF �_ lir
APPLICATION /D C� -7
OWNER OR AGEN DATE_ /
C
t. 1 t: t t. t., e. t. 1. a t. !. t. 1, t:.•.:,:. •.:;..t.;rv+ f
INFoRmATION
SITE SlREEC= E 22ND AVE PARCELO= 45282 , 3403
ADDREES= EPOKANE WA 99206
PERMIT UEE= EEWER CONNECTION / NORTH KOKOMO / 92-991
..`i....fi. 001393 PLAT #'-!f':!Mi .. f.-O i..+ ..i._.l i .`..i.
BLOCK= 20 LOT= 5 ZONE= UR 3,5 DISTO=
AREA= 00000000 F/A= F WIDTH=
•s• OF :_+i...!.1!:; :•:::: '; ., ,,t..t Y:.i...i. T.t'-:t:r tk-:::: j .xi;`:t*TER DIST ....
F , t�d
.. :i•9 l
' ... AVE
i.t;•... . ........ ... •' ..� •:i:'i''ii'+i .��?
:. , . ..::'.:•':..
t':t i t••i' t N t•.: ,;1 U.t ..i A#...#`•: PHONE `f::.#
BUILDING SETBACKE : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
.1 t. *s : :Y : K K* :s }. s : ;+:*t k:: : : : : + , . # PERMIT
..1...:...1+:t........... ......:.t. ,..?:;. .. :... .. ,.:. ..:. ....
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
t-1i;.+.t#'`-:....,.. ... '- UNKNOWN WA UNKNOWN
ITEM t +++" t„RiP i .-i#N QUANTITY EE AMOUNT
i.::.,'i l i..:'t::..`' : NI,
SEWER CONNECTION A
40 ,00
........ .....:. .. .. ...:•:.:t..:;.s. '.::;.s;.:,•.
..;..,...,p..i...,,..ii..... ..:........ t!•r. !1 .t + •t .. .. .t .,;.:ij.:,{.:;:.:j.:(.:{.:(.:,(.•ii• t::i�'(.'7#- 'i i; .ji..j,..;c:1,,,.(..,j..�:..`:1:'.:!+: +:')•:'t+:'7+: .:'!:t. .. ..:. .. ........ .... ..
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/01 /92 ....i4c:. ... .. .. .. ..
................................................
TOTAL DUE= : :
TOTAL PAID= 50 ,00
. 'EH'O_. . ..FE r ........ ..#'#i.... #''c . .?#'#i... ..tr't.. '{.`it.#..DI AMOUNT OWING
PROCESSED BY : JOHN LARSON
i '..
INFORMATIONEON
SEWER STUB AS—BUILT
irniTTTE5.: DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER ETUB PRIOR TO ANY OTHER
EXCAVATION
•
SEWER ETUBE ARE TO BE CHECKED PRIOR lu iu
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE...SEWER MAIN
§*4:*:11:***K CALL FOR INSPECTION PRIOR TO COVER K*** ***KK
-'--7 HOUR NOTICE_ RE:"i
... ... .. ..i+i,i!:.,i.:ti.n::t:.K K*
.i,..+,...;. i..,,..,....i..,..,!.;!,..;,..1`:++:;+:'t+::+t:+':•Yr•t+.1+.'1.:r t..1•.1-.1;.:5.1-.:... ..,. THANK `!.' ,::+!: :':+':$::++:•7+::++!::+':;?....:... .......... ...... Y`:". :.�9;•.... :./`::'... ..