1992, 07-28 Permit: 92005796 Sewer7SPOKANE CO •N7r DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260 i
(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 0)6Pdr)
OWNER OR AGENT I _i., 4th AaLWi DATE
ISS01UED...»:!-.. NUMBER= 92005796 �.:rx:t-ti } i''{::.i't{'i.#. DATE=# E 07/28/92 :ri:..•^'
t+ s ! }., x }?}..i!.R R F.i+.1! }?}?}?1?4?4?.)r)(.:t,.:,:.:,{.);'..j(. PERMIT S.N?^•_:R!"{f•%! I I i„i�: **3E J:-*;x;.,:..j,.:t;..:r:...:...:....}.**.!.:,!..}..;..!..,{..;.*.,!..,,..;.
.. 10906 `' 2l.:i":i Y ?w t :t �1
:
SITE!... >.•. t �r •.. 1 .... !.,1.,) #::. .:.. � { 1..1 AVE:,�'I. :'�FSA# ......,,._.. .. ..t.F,.". .. -. ._ #
ADDRESS= SPOKANE WA 99
206
PERMIT USE= SEWER ti : + : : . r SOUTH i k ,_ ` . (92E-766)
:t+:':•?'}?- SEE
NOTE .},•:x•:tt:
,..} r.:l { 4 -. 001397, PLAT A NAMI "• ?t.i.tK ,#MO -i i1;N: i 1::.
BLOCK= ,1;;j LOT== ; :# ZONE= AGSUB' I1 •
... WIDTH= 0 DEPTH= 130 R/W=
:
OI.$jNE:R:::; MC i..' ..i`.'!'rl-I.C::K: LARRY j`Hi..:NF:::
it r t:.t::: # ... :,"1.. )'' t::. I«t•t m,,....
ADDRESS=:1= ..ii'•?.ivA!t'?#. WA 99206 YY
CONTACT i ., ., °+•i£*1 • I I•"B E - :0 9 .. 8 2 6
• r :.
BUILDING SETBACKS : FRONT= N:`f-'? LEFT= N/ RIGHT= N/A REAR=
* ;.* [.: •.;'. [-:E:.},::i.:¢:!::, **:!_.:_.:•.:,l..!-:ti*.!i'.!r i++r*.)i E t'w •i•;f "R t'1 i t 'P'r:P..j'-r)=i)(•.j;.'j,::!!j)4:}(..j,:.j!:.ji.i!j•i!l'){.Y.k'7+i'!+:'ji''ki•P:''lrr ixi){•)i''Ni i++r i
:.1.r.1. R,?,?..7.1...l.l.t.,.R:. ..1.a?:.).1 ... ..........!. t"#.....i..E. .
CONTRACTING
I
CONTRACTOR= # # `# # : . 27 f:3::::.56
STREET= 11
372
#::. BROADWAY AVE
E
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY F ::i.: AMOUNT
::'RiAi:#::.s.:.t-N?.•r ":i::' y10,00
SEWER:.R »t.}l4,\t:.C°`s .#.i . • i40 .00
:,:. t:::'-.•.:::'..... '.-'-:•.:'.:•-* ' ::,::,:.(.a,::,::[.....F :;I I.'1 N A t''! .i.i'*)+j)!r}!;i�..•i Ri'i i+t'.l')+:•Pi.....)t...''Pj'Ni'R.+:)?....*
,•.)+. 1?1+.)E.t?n..?:?R}?x lE.1+.n.n:•Pi ixi)+:.f)k 3!.1.,?..�.1.1... .... t�•;..A'E t"#t:.#+"•1 : y, '•�!
PAYMENT DATE f•�•' i.:A tj"M,.-. Pi~i 0 t,_E t"' ,
07/28/921:;57'.;)650 .00
TOTAL {,)121'•' .00 TOTAL# Ai._ PAi .% 50 ,00
PERMIT TYPE ......-. E.t- AMOUNT F.. T ,.: AMOUNT _WN
a
SEWER .•#:_R`,t+'i'. : 50.00 50--00 . 00
5(),00 "S it:j,,E;j t.• ,00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : !-ji-ia•' .f.T R{_irvIc:1..41 ROBIN
SEW *} COUNTY
!..t.. + i� •; AS—BUILT .F.�.3 <:•! (•i i fa'SI, i•', (••Y THE ..:j,�.-tj+r
UTILITIES
MENT (456-3604)
CONTRACTOR OR APPLICANT IS TO F: .I. :i..- ) LOCATE
AND CONFIRM _.L•IF.:
ELEVATION i rt-+. j i.. PRIOR • 'i ANY OTHER
{.:.{...#...'•:.:; ` k 1;.< (.•:1'f f..1 POSITION t. #"• SEWER ... 3 ...... ..+. ..
EXCAVATION
A-O..
LINES,# i t.. . :1"i BURIED CABLES, t x('i: PIPING , WATER ....... # .-
• LOCATE,
CALL BEFORE tt'ir' {„iii DIG (456-8000)
SEWER
tER :TUB: i rrTO
BE
CHECKED
• . t{ " ) i R it ; TO
CONNECTION TO n Y
. {#
THATe"! CLEAR AND UNOBSTRUCTED TO ! i . ? _t " '
MAIN
)+.p..}j..)k ixi 3i ,,r.)ir CALL R INSPECTION P t I ` S( _
tI ; a. 7,:•7r:•'t;• a b:•)')'
:.4b•t>.•7+::?..lti gy.p:;y. 24, 1••ii..i1..ii•'; NOTICE i'•:t::.ta?i.t.#.R#- S 1 *.+i)i•)f)i•3E)E)i•),..;'
..-- _. ? .R..p..tt'R:'R'tk'R:'P:'?•9+:
494 ? e ; q • 91 } : p1it s } } } „! * : .ii : . a THANK . t } ) i l ) ) ) R9r 1 r t f .H ? "1. ; R `" ?9fit t. )