1992, 06-16 Permit: 92004369 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
Pt't;O tl^i,; i NUMBER= 92004369 0s:.1."5';:' ,A:.:+.:L .!.;:, .j_ ..±_N ...DATE= 06/16/92 :''Al.:??::.::: 01
**1 it'fi it THIS .},a l i 4,i t r•`•1 PERMIT '}i} is:}.;ti;n•
PENALTIES WILL a:E ASSESSED s'O R COMMENCING WORK WITHOUT
. . PERMIT
SITE STREET= 10910
(':i:'f 30TH n V r• PARCEL4= 45283. 5111
ADDRES.C= SPOKANE
WA 99203
PERMIT USE= SEWER CONNECTION— SOUTH KOKOMO (92E-618)
}*}F SEE
NOTE }i.**
PLATO=
AREA== !.!0000000 !•• `r•a_• f' !,.I.}.3i...H:. }"•'dfi:i'
.... OF BLDGE= t . .... 1 WATER
OWNER= KEYS, LOWELL PHONE=
STREET= 10910 E 30TH AVE
ADDRESS= SPOKANE WA 99203
CONTACT N COURCHAINE EXCAVAIJON. PHONE
LEFT= RIGHT= : } 5485
, i .
BUILDING :} l -: i ` FRONT= �/ ? { '� ' . eREAR=
.,
PNRu*NNk PPPP r p } k !AP7RtH4 k !PN ! rrx : LPERMIT
. .. # 1:•t:•Nt*3***•i'r 9:9:P:'i`:'Hi•Ai v:::'..1:'..
CONTRACTOR= :4.?t..:i';!.±..?t••t.t.N#:_ CONSTRUCTION PHONE= 509 924 5485
:..I.TREET= 16402 E '.t;..i?.,.?...I::.: tai t.j
vLNHdriLL
ITEM fi?::.,;iCi°:.t.F' ? Etyii QUANTITY ?"?::.E AMOUNT
PROCESSING FEE 10,00
SEWER CONNECTION 4
40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 .. -i0 50,00
50,00 ,00 50 ,00
PROCESSED BY : % tµt, . 'I::=C) rCH ROBIN
PRINTED B' : DOMITROVICH,
ROBIN
! :r,..r
SEWER, STUB ts' AS—MILT. INFORMATION IAVAILABLE t•; ; THE COUNTY
UTILITIES DEPARTMENT t ( '%5 —3,^?i 4
CONTRACTOR
!..;?•': APPLICANT t. TO
POSITION F } } '.! LOCATE G ` CONFIRM
i ? __ "
THE
ELEVATION :t . t} SEWER STUB " " . OR - cY OTHER
EXCAVATION
TO LOCATE Bi ? _ s CABLES, GAS PIPING , WATER 1 } +? : + ECT ,
t
:
CALL BEFORE Yt.!t.? DIG (456-8000)
SEWER STUBS t,it;;'y AR t::. TO BE CHECKED PRIOR TO# !,:#,: ~?NEi.: ± .?.i..?is TO INSURE
THAT t Hl::.'t ARE CLEAR
INSPECTION^ ` D UNOBSTRUCTED , O "�H
SEWER MAIN
. „ KxNt ! kA :: _ . FOR ` ; IL } TO COVER
'Pi'Ai:++i +r i•,i Li:l,i;e}i('ini
'!,::":gt;9!•y1.91'i+:3C:e: :..Y, HOUR NOTICE REQUIRED 3343333.y:..i:..,;..,:.
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