1992, 02-20 Permit: 91008724 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 :U;" ;: 91008724 I SjED PERMIT 1A- F = 02/20/92 :t ,1 = 01
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SITE : E :. E . 10913 E 26TH
6TFAV Er ( : tEEe - 28543-3019
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER t+
WER CNNEC EI.t.?N .... NORTH Kt.I (91S-152)
ii*r: SEE NOTE
* •*
PLAT4= 001393 PLAT NAME= :_ ;O9 + TOWNSITE
BLOCK= v' LOT= IlZONE= AGSUB
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AREA= 0000:,000 r.:'.'f..- F iW7:D-t'H..H::. D;E-P:+-t',..;:::: ;:t°,/ui:::: 70
t:l.. BLDGS= •e- DWELLINGS= t WATER DIST ::::
OWNER= WAU ;H, T & -HONE
STREET= 10?'13 E 26TH AVE
ADDRESS:::: SPOKANE WA 99206
CONTACT NAME:.:::: H & S CONSTRUCTION PHONE ON.::. N...MBE:R= 509 926 8964
BUILDING SETBACKS :BACK, : !••RON t .._ N/A LEFT=-- N/A RIGHT= N/A REAR= t•: /A
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CONTRACTOR= H & ::r CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 (::. V t°:E...L._E::'Y'ESL f-1 Y E:t 5.E.:
ADDRESS= SPOKANE WA 99:206
ITEM EM DESCRIE' EI,ON QUANTITY FEE AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION 1 ': ..00
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PAYMENT DATE E''•`.ECE.:E PT e PAYMENT AMOUN 1
02/20/92
1075 50.00
EOEAL_. Dt_ir,._:::: :.00 TOTAL PAID= 50:00
PERMIT. ..t.YPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50,00 „00
50:.00 50.:00 „00
PROCESSED BY : DOMI:TROk II..H , ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER _STUB AS—BUIL. E INFORMATION IS AVAILABLE AT THE COUNTY
UTILT IE S DEF`ARTMEN.1 (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD D E._O ATE AND CONFIRM THE
ELEVATIONAi £} POSITION OF SEWER STUB PRIOR TO ANY OTHEREXCAVATION
t t.i !...f iC:AEE':. BURIED CABLES, GAS PIPING , WATER E::.R. L INE_. , ECT ,
CALL BEFORE YOU D I.G (454.3-8000)
SEWER
EE " . , r: n tE ( 1 BE CHECKED FR"I Ct - ( CONNECTION O I
N
SUR:
THAT THEY ARE CLEAR AND UNOBSTRUCTED Ti THE SEWER MAIN
*'!i'****•>':'n:•k CALL r.E+R INSPECTION PRIOR TO COVER •>t'A'P:***9l&1?'$:
Jk 3 ****r ! h ::;-gyp HOUR 1 t,,i L•< t'�Ci T:%i.�E�9. REQUIRED �k�•v)i j!'p•iF it a•x•
.................S :6_•3604 'P:#• :••......Jk..**
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