1992, 04-27 Permit App: 92002858 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
pRojEc Nit" t.i,..R.::: 9 ,;. 02,.S::i;:; APPLICATION .;.j F.}..:.E.. :5`' t-AGE-- 01
N-f!-jt•.,}.9'.ji. THIS .t.,`:• N O 1? A PERMIT'fi`'Ai 7+r.ji..ji..j..
PENALTIES I tl.t.?..L 3:i E f''?,:::::•t::.�o-,. ?:D FOR R ;.:?,f ty M E::.?a?....I:t'G WORK WITHOUT A PERMIT
SITE STREET= 110.... ! E 28TH F•t AVE !•t?",t..:E::.?...O= 23543-3807
ADDRESS= ,..r-;-i;;r•y?'',?::. WA 99206
PERMIT USE=
?!i%")!' SEE NOTE E 'ti:,*
PLATO= 0016'1.3 PLAT NAME= <:,i_i�, i h?t,i ! l.7 tR;?'•?�•.?. ? ?:
y.-•. , .
BLOCK= .. LOT= ',.,': ZONE= UR-3,5 .t.j.. :•:•=r:.....
AREA=
Rrf :
F/ F . WIDTH=
DEPTH= c
} OF BLDGE= , DWELLINGS=
? WATER DIST
....
OWNER= HPKINE, JAMES PHONE=
STREET= 11021 E 28TH AVE
fi'ti) )R :.SS:::. SPOKANE WA 99206
t.?N-•`•Ai•' NAMt'•.... ? 'tEt.'t ,r•y s•sEXCAVATION PHONE NUMBER= :0'_' 2 ..
BUILDING SETBACKS : P i t t"•) t :::: N/ A LEri = N/A ;, • i::.. NIA i-,,111-11%.—.- _..... f•�?; ;`.
:,i..5i.:•.:::,::,i.:}i.:,i.:,i.:(.:(.;,:sy:y.**:,{.:i.•(.:}::,,::!..fie;•i;:u:rJ,:rR..I•rPi '•.E 7at:..1,, PERMIT ******:******K*****************
PHONE=
CONTRACTOR= 3..,t.1 t.J'.':t..: I•�I.t.!'�i::. CONSTRUCTION ..%+: 924 54@5
STREET= 16402 E VALLEYWAY
ADDRESS== to :.t'::At.%ALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10. 00
SEWER CONNECTION 40:.00
PERMIT y (rE FEE AMOUNT a"O_ • PAID '-•ti`•it.?t.;!`@ ? OWING
Wi::.k'. 1''!.P.'!''I 3. ! 50. 00 .-.00 50.00
?'-t';t t t.r�t S D t i`{' : i_!!.#f•'?.?. i ;•ti t,;ti:,?...:E{ ROBIN
PRINTED BY : .t?( Fl1, ? R:t-t t OH; ROBIN
,:>EWEi: STUB AS—BUILT INFORMATION IS AVAILf.:}BE...E::. AT THE COUNTY
UTILITIEE DEPARTMENT (456-3604)
CONTRACTOR t•ifgf.: ) i.:R O?',•: APPLICANT IS .,.4... F.?.t::.t... ) LOCATE AND CONFIRM THE
ELEVATION fr'•1+i t) POSITION t..!;- ,. t::.WER STUB PRIOR TO ANY
OTHER
ER
EXCAVATION
TO LOCATE
_ l „ _ Bt " Ik _ CABLES, r 7: PIPING , ;t ! ti LINES, . t .
CALL BEFORE fOU ) 1G t456- 8OOO
SEWER
EW:R trB' ARE TO 1E CHECKED jRI ,R TO
CONNECTION
OlNE1yiOt ? ' INSURE
THAT E ? t':E r ARE CLEAR AND?.? ;,,iNOB;. jRUi:s•E::.!} TO THE:. :it::.WE R MAIN
iG +:Pi uN:st:'u:3{u' CALL FOR INSPECTION ?.:RIOj' TO COVER iti'k''},'r:a;.n.$i•3i'*:R b:
.....:ii:i...! .s 24 HOUR ER NOTIC E REQUIRED it9'::++::++*)?'9?':-**
456-3604 *:+i 3+i•F`i'kr';+r;ee;:p:*.!e.
........ .... THANK ,::•:: ***:**K**** ****************** **.,4.,,.
.,..$?..)?..,.y...le..�e•i?'1?-9:'9?ti),!t:+.).9?,•.)..).,P.)?f-.3:!,!?)}..,?..,,..,!..!,..,,. Y 1„t 1,-1 :..