1992, 02-25 Permit: 92001070 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 construct n.
SIGNATURE OF APPLICATION �1_as ^�
OWNER OR AGENT DATE v�
3•"RA1?::t: { HUMBER= 9200i07n ISSUED PERMIT DA.. .. 02/25/92 PAGE=
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SITE E : REE i = iv2i2 I... 60TH AVE 2`A I..:#::.#...4= 28543-5027
ADDRESS= SPOKANE WA 99206
PERMIT 3..::. .•:::: :::f::.W#::.f°•' CONNECTION i`u SOUTH ic_i' fl'`'{i.+ ..1 .
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PLATO= 001393 PLAT NAME= Ii.,i,,i K, i i"i i,i { :W{`:i.` { {..
BLOCK= 50 LOT= 4 ZONE= UR-3, 5 DIST4=
AREA=
ESA= F WIDTH= DEPTH= /14.:
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OWNER= f { i- 3'i t;..i".;f f i D PHONE=
ST
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3 ;.1::. . #«:... 11212 E 30TH! A:j
CONTACTADDRESS= SPoKANE WA Wi206
NAME= MOUNTAIN WEST MECHANICAL PHONE`••:3•' 3 ii. #..... 509 928 2471
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR=
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CONTRACTOR= MOUNTAIN WEST MECHANICAL PHONE= 509 928 247.';
STREET= 9116 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEM .:'I::.... ......... . .?.c:N QUANTITY FEL AMOUNT
O :•.?.N!,:! i 10 ,00
SEWER CONNECTION 40,00
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PAYMFNT DATE RECEIPT4 PAYMENT AMOUNT
02/25/92 50, 00
TOTAL DUE= „00 TOTAL .... 50 ,00
PERmIl TYPE i-LE AMOUNT# {fM4,i i„{N..t. PAID AMOUNT OWING
EEWER PERMIT 50 ,00 ..%',:' :/!'' ,00
l.:,.:3:, #::.:• !•' 3! `S i : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONtRAOiOR UN APPLICANT IS TO FIELD LOCATE AND CONFIRm THE
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EXCAVAIION
3 ,, LOCATE BiiiiI ii CABLEE, i_sA PIPING, WATER . ,
CALL BEFORE YOU DIG
000)
sFUBS ANL io BE ii PRIOR TO CONNECTION TO INEURE
THAT THEY ARE CLEAR AND UNOBETRUCTED TO THE EEWER MAIN
Aji..ij.q:...j:..j.(..: :i'i CALL tINSPECTION: i s . COVER f; . } sii r
jVii ) }: HOUR
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