1992, 05-15 Permit: 92001941 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
PROJECT NUy :± : _ 92001941 : ` y# : ? PERMIT DATE=# : ? ?• ' >% r : PAGE=_ . i
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SITU STREET— 10004 ... 25TH, AVE' PARCEL4= 28543-2909
ADDRESS= /E::OKty,3''EE. WA 99206
PERMIT;• f.?::#::.='= :::#::.W±::.±•'; CONNECTION NORTH#..I ±;.tiK.;,.;±-.:; (92S-275)
:.:t...A T41._.. 001393 PLAT NAME=• K C:i t.i„i 1'' 7i,t N,`• ±::.
AREA= 0000 0000 t::'/r,^,-}:::: . WIDTH= DEPTH= R/W= 60
'7!• O±" ?:t±...Dt.:r,y,:::: •; y!: t,1;;a Ft._±....±.#'?1Y '± WATER i::.R ?.%i.::: ± ....
STREET=
..ti...i:�-i' ... BISHOP ,10004 - 25TH ry s ..
At! !±'::,.i .::::: It..?±fittoN1... 9924.16
CONTACT NA '± :: O s r ( : EEXCAVATION :PHONEe.
't 5485
BUILDING SETBACKS : FRONT= N/A EFT: N/A RIGHT . N/AREAR=
N/A
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CONTRACTOR= c"`t:± .! CONSTRUCTION PHONE= 509
STREET= '7 6-4 0.2 E \1 A±...±...±:: Y W(•iY
: 5485
ADDRESS= .t l: F;t.:4?,!(3#._ :. WA 99037
.±. # ..:.P'{ i!#::.... ....'c,:#" I :..?#'i QUANTITY FEE_.. t••ii.`<;±..!'..*.. ,
PROCESEiNk, 10 ,00
SEWER l.:_..:U
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r:
PAYMENT DATE x F..: .. 1.: •• r;;,' MENcf:)MOUNT
05/15/92 363 50,00
TOTAL, D .. .00 TOTAL D:::: 50.00
PERMIT TYPE t..�•:.±::. AMOUNT± Fti;'±i.li.:?'-? E PAID (:1±'•±±..;..?#4 ± OWING
SEWER Er=: PEit.M.I:_{• 50.00 50,00 .00
-------------
50,00 50 ,00 ,00
,
PROCESSED s:Y : f,!t #"i,:. #' O .l.t,i' ROBIN
+t:p:rN'ri::.D ::i7` : DOMITROVICH, ROBIN
SEWER s AS—BUILT INFORMATION i;y ,.. AVAILABLEAlTHE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR tR APPLICANT� ! i :- FIELD. , _ " t : # % i C r P @ 1CONFIRM
THE
FIEVATION AND POSITION OF
' S±::.WE.•_: STUB PRIOR TO A N Y OTHER
l::.XI..:(±V'A i i:L`r'?
TO : PIPING ,
LOCATE BURIED CABLES, {•<:'•!.', WATER LINES, ECT.
CALL BEFORE Yt,tt-E DIG (456-8000)
:::•E ±::.±" :. { I 1;t,. t.:l l'k t::. TO E CHECKED E.:E i,i,:i i=: 1 j tai i•+i E::.1 ti ± N U ':E
THAT ) HEY (i#";t:.. CLEAR t..( ±-:. A N i UNOBSTRUCTED :T i}'.. �•f'f#::. ,'#„ilii-,I''•: MAIN
hhhhhh*** CALL FOR INSPECTION S"E'+.; ± TO 1 t.„?.:#::.±": 'Pi'1L''}ti�i i.•:1'i•Yi•Pi•P:'lt'
:,..j,i.p.),..1,..!r,5),), 24 HOUR NOTICE REQU.t.R'Es_j i£-*:,;. ;..j i>:-*'»:*7`i
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