1992, 03-09 Permit: 92000591 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 thatthe issuanceof this permit/application and anysubsequent 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
i=' R t.! ..! E:. (.: ! NUMBER= 3 2 0 :_ L:15 y t ISSUED PERMIT DATE= tl, /j•:}';3::_ PAGE=
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PERMIT INFORMATION
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SITE #::. ,..! t :E:.E:.i-•- Q 4: i E :... 1 ,.:. ti 'd E:. t" . # #...:x..... 2654i-2020
ADDRESS= V E:.RF}ttALE:. WA 99037
PERMIT t.!:.E:...., ,.>E:.WE:.#y° CONNECTION .... w E:.RA§t.:liE:.S T (92S-60)
PLATO= 00036 PLAT NAME= VEQO qQES—,'
!j1...tJi..:#s.:::: 2 LOT= 20 ZONE= = S #= R D I t M-- E'
A E::A~ E/A= F WIDTH- DEPTH- R/ W::::
0 OF BLDGS= i DWELLINGS= i WATER DIST = VERA
3 .... .. PHONE---
STREET=
�'b•iONE ---
OWNER= !'4_ E:. E;::::: ?:� #... A•} i4 E:.. +� 1... E:. Y :.) #...
! Ris E T= 15007 # •''t ,} 1 AVE
ADDRESS= VE:.ttif-liJA#...E WA 990 37
CONTACT NAME= = H & `' CONSTRUCTION t'taONE:. i`)%.!!''It:#::.R= 509 g°"%•.•`; 896 4
:iU:ELD:ENGETBA'ii..:KS: FRONT_:: N/A LEFT= N/A RIGHT= N/A REAR= N/A
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SEWER PEi''.'.1`'.. '1!• jl '}+: 'P: P: 'P: Jk �+: •1+: ?R •A: it. �. .j(. .!l' j!• P•'1!' F' P: 'P: 'P: 'P: •A: 'H: 'N: �: 'P: •A: 'P:
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 896
STREET= '# l G 1 ( E:. V A #._ #._ t::. T W t •} Y A 'n' E:.
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE i'
SEWER CONNECTION i i�+.� ,'•it
R" }+' -16 14 'P: •S+: '!i• -lf,- $i 9F 'b:• '14 •Pi •J+t 9+i 'N: •Pi •l+i 'A: 'b:' -1ti •R' -Pi �+: i+i •Pi •Yi •;+i ';!• N' •Fi
PAYMENT SUMMARY
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PAYMENT DATE E REt.: i:: I r: ! 4 PAYMENT AMOUNT
#
03/09/92 i533 5%00
TOTAL A L DUE.:.:::: .00 0 ! =..!1 AA'±L PAID= 5%00
P%::E?MTT• _#.'YPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 5%00 50.00 100
50.00 5&00 0
PROCESSED B Y : D O f" I i !'_. t.! y .i. C H , ROBIN
PRINTED BY: DOMITROVICH; ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT 13 TO FIELD LOf:Ai ! E:: AND CONFIRM THE::
ELEVATION AND POSITION OF SEWER STUB PRIOR Tp ANY OTHER.
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU i DIG (456-8000)
SEWER ,.:TUB ,:: A.} R E:. TO BE CHECKED PRIOR TO j O N N E:. t.: t' I #: N TO INSURE
THAT THEY ARE:: CLEAR r"±'ND UNOBSTRUCTED TO THE SEWER MAIN
CALL FOR INSPECTION _ PRIOR („i COVER
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'4 HOUR N lT Iqq REQUIRED
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456-3604
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THANK A-} iV �: Y ..! „1 •R• 7L• k• )!• 9?' )t• 9Y 9L" J>' -)k •t•`. i." :+?' j!' JS -'P: iL' �i' N' �- i+: Jt �F :U' )f X' IL' I+: 'M' J-: 'H.• jj• 1j•