1992, 03-19 Permit: 92001023 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
F''ROJEC»f NUMBER= 92001023 ISSUED PERMIT DATE= 03/19/92
`F•71.r:.. ' t:t i
**K* *** **************** ** PERMIT . fEti"f ! iSi h! : : : ;: . f* : t*: rta t : i 1ij *?
SITE STREET= 10915 E 22ND AVE PARCELO= 28542-300S
ADDRESS= SPOKANE WA 99206
'i::.E';;M I__ }E:::E::.:::: SEWER CONNECTION .... NORTH j'7 KE„i it,,{,iMO (92E-129)
PLATO= f .:e
PLO- .!!.!1 ,'i`r3 PLAT E NAME= K1,iKOM{-E TOWNSITE
BLOCK= i4 LOT= 15 ZONE= AGSUB t.t.{.S f
AREA= 00000000 WIDTH= DEPTH= Ri''{J.{:::
P O,._ v-•° Y"'"S.... 1 ..^.. DWELLINGS=
, {j^ ;iWAIE. ,•
W 1 E'�:. i..1 E R`"I i?t.Y»{ i,l N : !.Y i.=.2 PHONE=
STREET=' ; !}:J °';> F 77ND f'!{ti,i I.»
ADDRESS= SPOKANE WA A fir;- 0 6
CONTACT NAME= } !i !_J=:: CONSTRUCTION
» . "i . ; N ION: NUMBER=
MB i=
509 , J 6182
BUILDING SETBACKS : FRONT= N/A LEFT= \ RIGHT= ,/f " . ^ ; : N/A
•4„!?. R, .}.r•. d. P. R.J!.!,!, .!.:t!-.!,!:!!.P. rt J.!::::. .-. 1.iur ::;E::.L;!{::.E"•: PERMIT ***************** *********K**
CONTRACTOR= FORDS CONSTRUCTION PHONE= ._%}+:t-+ 924 61 t......
STREET= 9713 E f•
H AVE
ADDRESS=" ;1"`Oli,ANE WA 99206
ITEM M il4'vb%t.:RI .} ON QUANTITY FEE AMOUNT
• ----
PROCESSING i:.r.:'!::' Y' 10,00
SEWER CONNECTION 1 40.00
•:.::...:'.:::'.::::,::::;.:..:::'.:.:,;.:'.•.:'.:.a::'..:,:::'.a•.;;.,. .. ****:*****K******************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
TOTAL DUE= ,00 TOTAL PAID= 50,00
PERMIT TYPE {e t»A. AMOUNT AMOUNT PAID AMOUNT E !„i ]:NG
SEWER PERMIT 50,00 50,00 ,00
50 .00 50,00
PROCESSED i•' D!3e'i.1iROVIC:i-I, ROBIN
PRINTED BY :. TiE„iMi, EROo .:C:#EJ ROBIN
s•E::.W {••: ::i E !{{.t AS—BUILT INFORMATION IE AVAILABLE A i THE COUNTY
UTILlilES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM t .l i..
ELEVATION AND POSITION OF SEWER STUB PRIOR # O ANY OTHER
EXCAVATION
TO{ ! !!t:A7!:. BURIED CABLES, !_-A,:i PIPING , WATER LINES, ECT,
„ , , ( 456-8000)
:.::.:i`t...E... BEFORE f YOU J.:.s.+.:t
SEWER (I}! c••{!•;E:: TO BE CHECKED E"I'C:i.}:i?• '•i•ECONNECTION I�t) INSURE
THAT E E i'iE".Y ARE CLEAR ANDANDUNOBSTRUCTED T(,} 3 i•i; SEWER MAIN
CALL FOR i INSPECTIONPRIOR TO COVER:EVER *Pr'.0 i!_3i''}!.*...z;•
v:..:...:r•. ..4-... 24 HOUR NOTICE E:E::.Q{..=t._'+.E.:.t J ?t•3:3?:S..•:.1}.:•:::'!:4t'
:,:.:,;.:n.:,j..}.:j.:;j.:}::{. 456-3604 .11..y...jt..li..?j:.3}.?k:!}.:}i.9;:
!.;'.:}:.:,j. •.1•.:};. .:}}.:j.. :};. ..y;. :}i. :}}.:}:. * :}.:(.:!.
:,j. .¢. .:}(. :}:. :};. :,{. r::li.•1.j?•j.ft::?t f`: THANK { !..t..:....i...:1;..1.}?:.................. 1l�..4`•.•9k'Ik 4?•1F!.!. 7.
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