1992, 05-08 Permit App: 92003225 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
E E1:+_I:+h.0 NUMBER= 92003225 APPLICATION DA .... • 05/08/92 2 PFi!.rr.:.:::: 11'{
*N•*11•*n. THIS IS NOT A PERMIT **91• •it*
PENALTIES +3(7.L..L BE ASSESSED r'[i E': COMMENCING WORK tA!.. ? !" ...t.! F•i PERMIT
SITE STREET- 10918 E 27TH Fe r
' a t. . . n_ r
. :4 . .3` :
s
ADDRESS= S"tKANEWA
99; 'tPERMIT t.!t.i E= SEWER CONNECTION .... NORTH Kc K_iM .i (92E-438)
'r'it :' :E:E. NOTE **''
PLATO= 1;1,,•:'t 3'I,:,8 { ?...(1•• ! FrME:..= ,'•.+_1Kt.,Mf,! j fiW1' ,`•.i. ::.
LOT= 8 ZONE=J UR-3.5 F I. .1.: :»•
:x: OF BLDGS= 1 'n DWELLINGS= 1 WATER DIST ::::
OWiNE_R.... FELTS, :.i M PHONE=
,
,
is ! ?REE = 10918 ::. CY 27TH AVE
t
ADDRESS=:: SPOKANE WA 99206
CONTACT NAME= ALWAYS
. W! Y ACTIVE . ..ri. ` : O tN PHONE
, - NE J» M! E1 -
509 922
2» . ` ;0
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A R :AR= N/A
33t R C k it N3t) ri*bt pt AJA 1NNNt t N * SEWER EE " I - PPRP333A*k***3i) ) .p3t.P3NNR
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 ':1::'::: 8500
0
STREET= PO BOX 141562
SPOKANE .<
ADDRESS=:: ?•'t�l';(�i'�I:' WA `>'°`�:''i 2
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING
'OCESSING FEE
i10. 00
SEWER CONNECTION 40"0
0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER
PERMIT 50.00 .00 50 ,00
50,00 ,00 0 5k:.00
PROCESSED BY : Di•1MITR Oti ICH, ROBIN
PRINTED Fry' : ,c:IMITROV3:CI..l, ROBIN
SEWER STUB AS—BUILT INFORMATIONCOUNTY
]:�. f-��'.i1:I_.Fi... ........ ATTHE
UTILITIES DEPARTMENT ( 456-3604)
Fll''3'i
CONTRACTORt I: TO FIELD LOCATE AND CONFIRM THE
ORFiE�'E'i...7:_ IS
ELEVATION N(c ION ANA? POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE I:UR.I.ED CABLES , GAS PIPING, WATER LINES, ECT.
CALL (456-8000)
I:{BEFORE t�l''•:I::. ��t.�t.! DIG tr
SEWER STUBS ARE TO i I:r 1. CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR r3Ei (il II`? UNOBSTRUCTED TO TrIF SEWER MAIN
;r**p:3t 3i•* ai CALL FOR INSPECTION_ REQUIRED
" PRIOR (i-1 COVER •h.•A-A•11..A.p..A..A .x.
H:3t A 3t 3t jt u•)t)i• 24 HOUR NOTICE{ .LCE F..E Q U I rt'I`,}) -Yi-'M-)t-7k 3t 3i•3t)F*•A-
3i•***it3i•3tSi•3t 456.-..3604 * ..11****p...**
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