1992, 07-08 Permit: 92005089 SewerSPOKANE COL;NTY :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 witp processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree_,o comply with same. provisi ns of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the ance of this permit/ licatio nd any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violateorcancel th provisions of any at r cal I regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGEN _ DATE
PERMIT INFORMATION
'Ni �Pi �n... !!. •='. 1. J..t.:. T. t... P. �Ni 'F. , ,+ X F. ;'r �;i.•'j!. 1. , P. j•:
SITE STREET=
1003 #... 25TH 1". a #..
CONTRACTOR= H & S CONSTRUCTION
! .: ?... ... .!,. .... 45283.2727A
STREET= , ... ..., i::” :1 7 , # '', W '"(' AV
[
OKANE WA 99206
as :.
ADDRESS= SPOKANE WA 99206
PERMIT USE=
SEWER CONNECTION - NORTH
KOKOMO
(92S-694)
**);-
?' i'ti :!i :+li 'r dt' 'J?' )t i'}i =i ?!r !i 'ti •Ar •j!i !i !i :J:..1!r ='i •Pi k .!i •R• 9j• 'F: ;!r 9ti •Fi •A• $$ PAYMENT SUMMARY
'�} ai i!i !i •A' a: 'Ni �Fi 'Pi 'Pi 3ti 'Jti �Pi �Pi R� n' �:' '�: R' 'b:' '�i 7:' �i �' 'fir itr 'Fr a:'
PAYMENT A?!"! # #::, RECEIPT:;;:
,=
PLATO=
1 Y„3. PLAT NAME=
., 1.; !', 1.;Mi,; .x11:
BLOCK=
2-7 LOT=
ZONE=
:
DISTO= F,
AREA=
00000000 ,.. j A::::
F 1x1 ! .{.J H =
... .. .. .. .. ... .. ..
DEPTIQ W:---:
,
BY: ,
PRINTED BY: jULIE SHATTI(:)
SEWER STUB AS—BUILT ± AVAILABLE
OWNER=
PIl1'"B,,ER
_:l.i..:#'%
PHONE=
509 928 7924
.1. .!,
A""
1 • ... ... .t. 1 .!. i... .. .i #... !�! #::. I :.:- .. .. ,
ELEVATION AN., i.:+i. �. , , , fN 1}1•� SEWER STUB
ih ii OTHER
PRIOR .i. t.. ± .. ANY "v, 1f .. '! #::. I 1
EXCAVATION
TO LOCATE BURIED geByly, GAS PIPING,
ADDRESS=
SPOKANE WA 99206
SEWER ?.#.1: A:••`.E::. TO BE CHECKED PRIOR
..f.i,? CONNECTION .i INSURE
E.-•• .:
CONTACT NAME= , . 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
:,j. :�:: (. •::::j.:j.:q.:j.:,::j. :!(. :,: :u: :!(. :,j. :!!: :!!: :,j.:::,j.: :,j. :,,::j.: (.
• i:. t?.: i::.?'ti PERMIT
.,:: N. ,t :!: ::!: :,;. ;:: �j• i• R it yi. :n::'!: u. .Y. �. F. j: x. N. J•.
+r a' ). 1!r:'. si J. ,.. 'r 'Ni 1. •� Pi �••-j!r
CONTRACTOR= H & S CONSTRUCTION
PHONE= 509 926 896-4
STREET= , ... ..., i::” :1 7 , # '', W '"(' AV
as :.
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY
--------
FEE AMOUNT'
.........._......_......_...._......
-------------------------
?' i'ti :!i :+li 'r dt' 'J?' )t i'}i =i ?!r !i 'ti •Ar •j!i !i !i :J:..1!r ='i •Pi k .!i •R• 9j• 'F: ;!r 9ti •Fi •A• $$ PAYMENT SUMMARY
'�} ai i!i !i •A' a: 'Ni �Fi 'Pi 'Pi 3ti 'Jti �Pi �Pi R� n' �:' '�: R' 'b:' '�i 7:' �i �' 'fir itr 'Fr a:'
PAYMENT A?!"! # #::, RECEIPT:;;:
PAYMENT AMOUNT
PERMIT TYPE F :. #::. AMOUNT AMOUNT P»i.#.i?
AMOUNT OWING
! !...
--------------- ------------- ...........................................
—.............._...............----.............._
... .. .. .. .. ... .. ..
'.'i .s t;JlJ
..}PROCESSED
,
BY: ,
PRINTED BY: jULIE SHATTI(:)
SEWER STUB AS—BUILT ± AVAILABLE
AT THE #::. #•.
.#.?',}_..i.i?'';F'?t••E ......
UTILITIES DEPARTMENT (456-3604)
_:l.i..:#'%
CONTRACTOR �. E"; C'i?:: i:7; `F�{i`-���t.
•.i FIELD
LOCATE #... !••3 i�?1..j CONFIRM THE
.1. .!,
A""
1 • ... ... .t. 1 .!. i... .. .i #... !�! #::. I :.:- .. .. ,
ELEVATION AN., i.:+i. �. , , , fN 1}1•� SEWER STUB
ih ii OTHER
PRIOR .i. t.. ± .. ANY "v, 1f .. '! #::. I 1
EXCAVATION
TO LOCATE BURIED geByly, GAS PIPING,
WATER LINES, ECT.
CALL BEFORE YOU Diu M56-8000)
SEWER ?.#.1: A:••`.E::. TO BE CHECKED PRIOR
..f.i,? CONNECTION .i INSURE
THAT ? #'"#±::.? A #', #:: CLEAR t.:4 N D UNOBSTRUCTED
O THE }... .i`1::.+?+1...!"': MAIN
{.:t •?LL FOR INSPECTION PRIOR
? •, :..f•t
COVER
7. }. ... }. .. J. ....L ?±i,,..,1: ?i '. i.?. is #- REQUIRED
:ri k Ti ikhi <<'J inr 'J'
i.::: i.: '.: i.: '.:.: i.::: -:::..:::' : '.::.: i. 5:.: i.:,i.: '. 1:.: '. :,L : i.: '.
H }F'f F:: K YOU ,..: ., }•. R
i.:L.: j.: i.:,e,-'. it.:,{- : j.: j.: •: ii.: i.:::.:y.:.:.i.: '. j .Ti. '.:,j.: j.:}i.:,i.:::lj. :,j.: (.:,'.
}�t 1, .. 1. 1•. s..... J. 1. }c „ 3, ......:. J{ $... hi .. }..... 1? .... J. ,{