1992, 07-28 Permit: 92005795 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE it
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 OFAPPLICATION C2d)tj-22.
OWNER OR AGENT, aCil DATE
Q
PROJECT
NUMBER= 92005795 ISSUED-. i't MT DATE=•i 07/28/92 PAGE=i 01
* 3 1 : : } 3 : : : :::.* R: : 3 * } } SPERMIT #" f'Mf # # [ ) ' Ffir ?: : : : . : : f : jS : *} ::, 9 * j
::•.!. # #::. STREET= i , '} '# ::? #;: 25TH ,f.:{l+i E 1' A t'{i..,?':.'..... .. .452 .33.2,!:::.05
ADDREES= EPOKANE WA 99206
PERMIT I ,{:: SEWER CONNECTION .... NORTH #t,O K i,i M O (92S-765)
•x.!:.• SEE NOTE. *3`i
PLATO= 0'. j $.:f`_. PLAT Nf f#"3: ' ii.E-!'.1. t$ ,"t .I {i W#`?:. # t..
BLOCK= LOT= ZONE= AGEUB DIETO=
AREA= 00000000 t.}i, !.1{•} '/A= WIDTH= DEPTH= Lt!".
0 DWELLINGS= WATER DIET =
w N I"i',,. #''#i.: ;.,_..}N#"I.#.i.:i`, , JOHN i.,Hi iN#•;=
I R L?: ... i 'i 5 i= 25TH A',i`E
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TRIPLE
_ PHONE
BUILDING E t . " : FRONT= it LEFT= `i fRIGHT= #? a t : " ' N/A
} ii ? 'Pf t t} r i i 4i 1 ; K3 k PPLp ! i k SEWER ± « i ?I-
.;+r*'}k')l••}:;ff;•}!j *.}j•i'tr i't inr•i+;•!4 3G ryi.•'}+.•a' +i •;ti•Pi 9+i•}k +i'!+i'F:'
CONTRACTOR= TRIPLE E CONTRACTING PHONE= 509 927 8256
STREET= 11322 E BROADWAY AVE
Al .l-i i^'........... : S' O 1'.A N :. WA 99206
ITEM t I•'. i.:#"° : F # .i.O N QUANTITY P'E C: AMOUNT i"._iU;N
PROCESEING FEE
10,00
#"W#::.N Cu NNE... I t..?N .# 00
*.;*:fPt K (KRn** t pc: ; : f* :** fy* ( ( ( 1a f ' «NSUMMARY . fj( (i : **} a+r PFi K K) R *AA} P ) * ,
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/28/92': 2 R5795 50,00
TOTAL ,,,=1::.:::: ;.:';i!; TOTAL F?L PA1.{_:= 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 i.:}0 .::0.,l:}{„} . 00
50.00 50.00 .00
'"1'•.4.!{..:#::. - {...t? BY : I „#.#. a #'i,i i`u'.#.{..:#..# : ROBIN
F:,p'.'.s`? I LD 1i"' : t?t_ MIT OV1CH, .til..?]:f',#`''?
INFORMATIONSEWER STUB AS—BUILT
UTILITIEE DEPARTMENT (456-3604)
CONTRACTOR# OR 't.{ _' APPLICANT
IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION {. SEWER it t ..{B.`•' PRIOR TO ANY OTHER
EXCAVATION
TO 1 #...{_?±:A # f:. BURIED CABLES, GAS PIPING , WATER LINES, ECT.
CALL BEFORE YOU r
456-8000)
SEWER STUBS ARE.:,_« O ... ::. CHECKED PRIOR TO CONNECTIONTO
THAT THEYk. .. AND UNOBSTRUCTED -3: SEWER.. :�+..•'. INSURE;
}?•'3?•4!r'Fi•Pi'Pi +i•} •P: CALL 'O R INSPECTION PRIOR TO COVER i!i•i++i3+rK•i+:•'P:'}+t*14..F.
******:k** 24 HOUR NOTICE REQUIRED } 3.. 3.}.}
.............. ...: ::.::.::::.:':i.:'..i::,:. :,:.:,:.:}.:;..:E.:::::..:j.: :j..j.:j.. :!..j{.:f.:fi.:r.:j..:i.:,:**:, :j.:,l.* i.:'. :j.:,t
't'::+r t+;t:::•p;;!t•3!:•ts;R•3:3..:, 3:h Sr 3..St f-.St,t.::!i t++i.i�:;+:q..,c:,c:+_•j` THANK �Y ... ... ..,:3.3-...3.1.:.1`i 3.}.3.}.'i 3...3...r.7.,.,.....,t 3.....3,P.'1!�3. :