1992, 02-28 Permit: 92000859 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
PROUECT 9200S59 Fi:LFM11 DATE= 02/23/92 PAGE= 01
ADDREEE= SPOKANE WA 99206
AREA= 00000000 F/A- F WIDTH= DEPTH=
DWELLING-,S=
MIL
i
STREET= 10906. E 22ND AVE
ADDREEE= SPOKANE WA 99206
CONTACT NAME- ALWAYS ACTIVE — RON SLOAN FHONE NiiMBER-
BUILDING SETBACKE : FRONT- N/A LEI- i = Nif::; RIGHT= N/A PEAR- N/A
CONTRACTOR= ALWAYS ACTIVE pHof.-jF:. 92'.7
STREET- PO :t 141562
ADDRESS= SPOKANE WA 99214
PROCESEIN FEE
SEWER CONNECTION A
PAYMENT DATE RECEIPT4
02/23/92 1312 70 , 00
TOTAL :r
,
...-,...;...i:a....... ......i;,. AMOUNT
SEWER PERMIT 50 , 00 A00
50 , 00 50 , 00 , 00
PRuLEESED BY DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
UTILITIES A.)EPARTM .::.:NT ( 456-3604 )
CONTRACTOR OR APPLICANT IE TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO AW( OTHE
EXCAVATION
BEFORE YOU
THA THEY ARE CLEAR AD UNOBTPUOTFI TO EFWEP MAT'f\t
24 HOUR NO--rIOE
• t.