1992, 09-22 Permit: 92007893 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
PROjECT NUMBER= 92007093 ISSUED ••i'ti M -i DATE= 09/22/92 PAGE= 01
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SITE STREET= 12405 t` 24TH AVE !.•Ai•S`t.•L.# •t 45272 .3212
ADDRESS= €,i..!..fit A N r.:. WA 99206
PERMIT USE= SEWER CONNECTION .... i..1.i.....?...!..:R#::.:.'y (92S-951
PLATO=•»....• - .....t NAME=t....-• 1..#.t+..
OWN
BLOCK= LOT= ZONE= UR-3.5 DIET4= F
AREA= 0001 -1050 Iii.% -j• •I::::WATER
n• 30 DEPTH= .j5 . .ji!:I=
__ OF t•: il; . .... .. DWELLINGS= :, f•�; , DIET
,
i..,,atNE.t'r:::: :,f-?{.:Dt.?#':},..1#. D : l,t.?oERI :.i PHONE= 000 000 0000
ETREET= -12405 E 24TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAt"!#....._ .:1,1,,.}.I,:H `-;i*!i••FRONT=i ?::. ..iii; L�e`? .. .. %?'1 '�i% 5405
BUILDING EETBACKE : i,,•
..,,, :::: i'4 J�{` #...#::.i••'ii'::.. N/A; i";.i.Gi'•i I'::.. N; ` REAR= N/A
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CONTRACTOR= :: isH f ! i# CONSTRUCTION "`C•iON!::.= 509 924 5485
STREET= 16402 E e ::
ADDRESE= VERA oAL#::. I.,.i`. 9903 i
ITEM!•'! D!::.:at..:RIP ! .#.ON QUANTITY F AMOUNT
PROCESSING ::Eis 10,00
SEWER CONNECTION
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PAYMENT DATE i' ;'.k.:#::.$.F , :i; PAYMENT AMOUNT
09/21 /92 ..!•_+4. 2 50,00
TOTAL t}•i...... t:,:' TOTAL
...` ' PAID= 50
,00
PERMIT ? f ! FEE AMOUNT AMOUNT Yi AMOUNT ! 3G
•
SEWER PERMIT 50,00 50,00 -00
50.00 50,00 .00
#'C'.i..?r•i:: 'i •#::.tj BY : DOM DOMITROVICH, ROBIN
PRINTED :c ? : D c:I FI]. ! :, „ .,.C H, ROBIN
SEWER STUB toSt:4t.!IC.. , INFORMATION
DEPARTMENT, i 't {
! ld IS AVAILABLE . , _ COUNTY
tt s ' , . :436 .3604i
CONTRACTOR 1APPLICANT I:`:• TO FIELD LOl..f�t! f=i Ni CONFIRM ..!•?"!E
ELEVATION {•,#'ti},! POSITION t t t•• -.t'•', - t•, ETUB PRIOR TO i N Y I-i: ?..i.:#.,.
EXCAVATION
TO
LOCATE
_ , q . ii ; i # ! i i E , 3 PIPING , WATER IY
` ECT .Cf
CALL BEFORE YOU DIG n :
SEWER STUBS ARE TO BE CHECKED#: ,i ,.t.i.?i"
CLEAR # -i ? viE# ' t
N ; INSURE
THATTHEY S : - > NOB ' ?t , . ; THE ,.:,EWER
MAIN
-}!.•.Tr rt{;*-}k'}+:;,::»i}+; CALL i.., i.,; i•:;;;t.:,..t.: # !.'... PRIOR ; i.. COVER ******:**K*
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456-3604
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