1992, 09-17 Permit: 92007747 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 MgAD AY 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 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 orcancel the prgvisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any stateor local
laws regulating constru n.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE j L
PROJECT
,.CTNUMBER=
NM1t 92007747 I SC!PERMIT TA := 0907/92 PAE 01
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PERMIT INFORMATION
I�Liaa- ay
r••fi!_1!.lt'{C:.S:`1:::: ,::;'!.iKAtilE WA 99206
PERMIT USE= SEWER CONNECTION (92S-942)
PLATO= 000000 PLAT ('t fi !"! ::.::: UNKNOWN
%;ii...t:?:`K:::: i.•O'j'- `ONE= UjvKN D:i:;:TO::::
AS":!':.Q:: t/A= !.. WIDTH:::: DEPTH= T{••I:::: (•t./W::::
t
•v t-! I" :1 s + t_.1 % i:r S .. .Fr DWELLINGS= WATER DIST ....
OWNER= MILLER, GEORGE _ ADDRESS= SPOKANE WA 99206
STREET= 13105 1
CONTACT NAME= "i' !.l'i"i
STONE :{rVfIr!RIGHT= PHONE • ! : I :
928 7710
BUILDING SETBACKS:"":'T:N/A i�i":,;fi N/' ;=`;: ,,
9+: )k 7t 1C 7C 7t- 7k �+r i+: �+i it '!+i 7k Nt }+i 'li 9k P: •1!• •ik •!k 9F 'H: Yl•'}k 7k'P: 7k R
SEWER !" I::.I",(ti,T 'f•: i?• � 'P.' $i •)i• 9' R �+:' ii' 'R"i: •}i' •}l"P' {+i• :::: 'i::'k i+i t+i '!l' a t� :i- is •1: '1: i :'
CONTRACTOR= TOM STONE ONE Ex:E.:r"!`•41`r i.l.N!x t''!-1I..!NI::.:::: 509 920 7710
STREET= PO BOX i4154
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE:. AMOUNT
----------------- -------- ......................................-
PROCESSING FEE Y 19-29
SEWER CONNECTION i 141!:`}c.;!
i+:..Pi tt• •i+: )tr Mi Pi -Ar 'i+r 'i+r 1k i+f •!t..ii..p.:ll• Pi i+i -){ 'NG :Pi .i(..iG :1(. hi 7(.:P..it• •i+i 9+i 7k
PAYMENT SUMMARY 9{' Jk tl' -Ni •J4• 'it• '14• li• j+i '1C ik 'Pi A: 'i{' 'Pi 'il• 'Pi .P;. j(..1!' 'i!i l+i '14• '!t• •Pr +i i+C 'J+:
PAYMENT DATE RECEIPT:::: PAYMENT AMOUNT
Y2 7841
....................................._.._ ....
!.! t f• � L !J U t::..... . 0 0 I t., t t A I_• t.. AID = 5 �:1 ., :;1 ?;1
PE::Ri''€:I:'T' TYPE _EAMOUNT AMOUNT "C.? AMOUNT
ft:.
SEWER PERMIT* 5000 50.00
-------- ------- ---------- ............
PROCESSED BY: DOM:I:TREs+`'i:i�I'i, ROBIN,..`R
PRINTED :s'i : S)i1MITi:��'i�:j:CH, i•?fiBIN
,:>EWt.'ti STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
)
CONTRACTOR .i .t APPLICANT IS TCI FIELD
E7iiTLOCATE AND CONFIRM
'
THE
ELEVATION 'fi tO` AND POSITION ;FSEWER SEE% PRIOR TO ANY OTHERACFVATETN
: t LOCATE BURIED CABLES, ..r f'•1 :, PIPING, WATER LINES, ECT,
i..`ALI... BEFORE RE:. i'`OU DIG (451....e;c"iOO )
`•'+—WE::.FS STUBS ARE TO BE CHECKED PRIOR TO CONNE::C1.I:i:..iN TO .I:N:':..iRE
THAT I HE Y r"fiR1::. CLEAR AND UNOBSTRUCTED TO THE L`EWEr"•: MAIN
7t 7r Jr 7t x 1r 1 it i+:
CALL " i.. i R INSPECTION PRIOR TO COVER •}+: )G i+i i+: i+: n; .},:.}i.:1,..}i.
24 H!.!!.!!''•: NOTICE REQUIRED
456-3604
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