1992, 07-20 Permit: 92005485 Sewer SPOKANE COUNTY'APARTMENT 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF -. 1 APPLICATION -�-
?,eOWNER OR AGENT DATE \/u/y ?D- �
1 /
PROJECT NUMBER= 9200485 .t.,..,.UE D PERMIT )BYTE:. - 07/20/92 PAGE= 0 .
•*3t•*****iiiJ:*•ii•if•**fit•**...*****ii Yf3,.* ERMIT INFORMATION
*?i iE 3r*n>t ii.u•r.'.*.}>:)t-t>:)!•ii***j{•x••r.•n'it*•? **
SITE STREET= 10924 E 27TH AVE I•'ARC:Et...:9:.-. 45283.3823
ADDRESS= SPOKANE WA 99206
PERMIT L.USE:.:= SEWER CONNECTION .... 0.. IH i<OKOMO± (92S-720)
ri •* ;E t_ NOTE *'ri ;
PLATO=O_. !;,!y't ,1`v,: PLAT NAME= ±'•,tEl=,4.?'e"i•... TOWNSITE
BLOCK= 38 LOT=T'.._ ZONE:.:::: r•".t • 'I I 1 DISTO= I:
AREA= 00000000 F %F : fWIDTH= 00
1
EFTE = .130 R;W:
0 , D • .-= : � DWELLINGS= WATER DIST =
OWNER= F:ROU Y , HENRY C: & ELEANOR PHONE= 509 924 5393
STREET= , ?_.,: .t: I::: 27TH AVE
ADDRESS= ,SPOKANE WA 99206
CONTACT
ONItCINAME= HENRY C : FRO
UTi RIGHT=
PHONE NUMBER=
UMCER:
=09 924 393
BUILDING SETBACKS : FRONT= N/A LEFT= ;A �IG- _ N/ARE" ": ` ; ~
•R•**1L*'r:•r::K•7t•;l*)l N:**9t•:R•***:N.***it•**'P:•-R SEWER r EET *****************************K
CONTRACTOR= OWNER PHONE=
ViNE....
ITEM IESCr ] FI1 { J QUANTITY F E LAMOUNT�rO .
PROCESSING FEE
10. 00
SEWER CONNECTION 1 40.00
•;E•p:•R'•;L* *P:i4•**•b• •**1l•*.p.:u.*•;k**•;l i{*,t•;t*$4.* +.:f 1 Y r`t t::.±2 t SUMMARY ** h:•*j(....p:k •*}t;k R•r:r:*•h:.:1;,.j{..A.:1?•*.X.X P:}t X
PAYMENT
I"'f�a Y±�I I::.I'�I�� DATE I':k:.t...I::..I.I'-`{�e� i4'i s i i:i+.i�'++. 1
07/20/92 !;;6-e`2 50.00 0.:00
TOTAL AL DUt::. : .00 TOTAL PA.I.T?:::: 50.00
PERMIT TYPE +..EE:. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50
50.00
r.
PROCESSED BY : " 1,
: TRs : Ci; ROBIN
PRINTED
BY : •, MIT• :.°C' VICH,. ROBIN
T:f1:N
SEWER STUB AS—BUILT INFORMATION :i::` AVAILABLE AT THE COUNTY
U
:O ti`'II'i-
i ± ITI _ „ DEPARTMENT
(456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , I F+ PIPING , IBJ r i TE”Ft LINES, ECT.
CALL BEFORE:. YOU DIG (456-8000)
SEWER STUBS ARE TO BE:. CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY fxlE;:E CLEAR AND UNOBSTRUCTED I .{ THE SEWER ER 'MA:I:N
* ***•;k ±••;t•* CALL FOR INSPECTION PRIOR TO COVER •r:.K•r:•R'';4*R•!4•'R•';l•
*ae rAr»** 24 HOUR JO ± , IE REQUIRED nxxW*xuxx
••• • 456-3604 •hi 1l•)?-}C A:..*•..-'r:..
Fh iR19iPk 91iik 9rR? rR 1F it b7SriMA 9THANK Y _IX t*! iJrir
) 7 $Ji } 199P) PNk fi9Tfi ! rfrT :`