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1992, 03-16 Permit: 91007793 Sewer
SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509)456-3675 1 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 : 0 . . ? • ! NUMBER= , .( f : ISSUED t'""?1 3 . 0306/92 PAGE= 1 • ............ PERMIT'lk +i •it•'Pi 'P' •i+r 'it 'Mi 'Pi i}1' •P::+!: •}!•'}k :�: •t+: 4C •Pi Pi •j+i •Pi ?k •Pi •j!i i!!i •jt• ar i+i INFORMATION NtOR"A IO; •jei 'Fr 'l+i 1!r •H• •If• i}!i i+!i 'i+i '1{' �Jei :e!i -j+i -j,r -n: 'A• 'Jk •)k ik ?+: 9!' i+: Fi 'Pr 3ei -}!i �)!� j+i 0000 " , "•' i"'," SITE }... ::: ! !'': � :. ?::. } 0000 ? !? (!! t ?::. :'? I ,.; # j.:# 'e ?:: !•� j.:# 0000: {::.....:i ::... 28542-5217 ANE WA 99206 P _t r . ^ U4 0:SEWER CONNECTION — SOUTH , , M (9i—S41) SEE NOTE PLATO= • -.,,•....n..... :•. r:: ..., _0000 PLAT ....:_. , • .. :• BLOCK= ,:LOT= _ O T = ; � Z: - = j : : !; i • : - }0 ;.. AREA:- #.. ,, A :a: F WIDTH= 1 Et.:# H- i•,•. / (,;i :::: 0000 OF # __ •= , 0 DWELLINGS= t WATER DIST 0000 OWNER= 1,J#,,!W.t.NG, MIKE PHONE= 50%' 28 : 4; 4 .. „ ..., ..., 31ST .,.;.,0000 AVE ,... ADDRESS= SPOKANE WA 99206 --CONTACT !-"(: MOUNTAIN x,:} MECHANICAL PHONE ' ? 3 `ift:" r"� ? ; 928 2471' ;ir:tENs ,,,:f:t:FRONT= ^„„_= r:d P?stE.`!FREAR= NA -i . •i+i :,j •i¢ 3+i :ui :}r :}t. +. .3?•''F.• 3+}'jk :++::++i ''Ai :){"jI•'')k i+i i+r 'i{• P: 'b}'j+i )+i )G i!• hi �+r :_W:!PERMIT .RM,_ 'j>."J+i ;,i 'Pi iur �Yi iu. :R: ),i 'ji. .}y .j(. .yj. :)(. :)!. 3,.:}(. :Y: •JE 4 :}4'Pr '!+i 'Pr i++r 'j!i ':+i 'Pr :}i 7+r CONTRACTOR- -N Rt : , _ ; - MOUNTAIN WEST "__-i`iidL PHONE= .__ .. 24711 -r-rY,::20- H AVE ADDRESS= SPOKANE WA 99206 ITEM DESCRIPTION ,•-. ,: „•. -:- ,.:.•. , . .-•. , , :. , AMOUNT'EE -. „ PROCESSING FEE Y 'jY 'Jti •i,i .ji 'P:• •Fi •Pi 7+r Pr .j!:.j,: '1+r Pr •Nj .j�..J+i •Yj •Pj •i+i l+i :},..j�..j,..}!i 1+i .pi .j j..j,'..j,...jt.:}�. PAYMENT : `` T j!..p..j,_ .j(..y,...P:!i '}+i '1!i �)G 'Pr 3!i 'Pi i..j+r •j!� '!+i 'i+i •li• •Pr int• �Pi 'Hr }i ii. PAYMENT -0 _ R - : , , P : ;,_: PAYMENT ""OiN- 0306/92 173i 50.00 TOTAL s.... }0000... TOTAL PAID= PERMIT _:"E „ E E AMOUNT "OUN.A"?1N0PAID A?! A":„N.;a,N f .f ---------------- SEWER !.. 0000 '-. :.?. ! 50.00 50.0(-) : 100 ------------- ------------ .._.... .._.._.._..«-----.._...- PROCESSED BY: 00,00 .. .... .. . . . ... ROBIN ,v.. PRINTED BY: DOMITROVICH, ROBIN SEWER :i#;AS—BUILT #Nt`f 0 N IS AVAILABLE i1H}COUNTY UTILITIES ,.. ._ ,-. ,..- •:- , , 0000 (456-3604) ..: -,• : : •. r. CONTRACTOR OR APPLICANT .i. ::: ('O FIELD rJ LOk.,A.._. i.: AND CONFIRM •r�•,`•'!I..• ELEVATION , ,... , .,,..,• : ^. •. , 0 •. , ,_. +� .,..,_ 000_0. , :.. ,... STUB , # .• PRIOR .. ... , �.:. ?... t::.''e' 4�Y ? .!. ! _# ?''+} {.:# r•? #_) POSITION ..4 .?. { .�. !.? ?''? !.? ?'- SEWER ,`.- ? !., is i.: ;•,:.?. !.! r''K ? !.! ANY i l.? t + !!...I'ti EXCAVATION .CA ( I1 • } O LOCATE BURIED URT•/ .ABI€0?, x0 S PIPING, IiINr; :A :R LINES, E C .. ir.?:___"EYOU _Iy :6 08001I ,::EWER STUBS ARE TO BE CHECKED PRIOR TO !.:ONNE:e:T.„k•iN TO INSURE THAT ? H::.: i"I!";E CLEAR EAR f"i! t1,) UNOBSTRUCTED RUl.: T E1" i i.� THE SEWER f"t?"#IN .. !.. 0000 CALL if INSPECTION tE; iON 'RIiITO COVER : Y HOUR J _.; _ REQUIRED ;56-1664 ')!' )c :,}..}!.:):.:)i..tf• ;!j- •)!: )h 1+: '1+: 'i{ -1!: 'R' •li' 'i+: '1{-'iE }!; . �. ), .: ). )... r! �... )... )... ). )0000.:. ): )..! :. >•....... ). n :. ,... THANK YOU •)r n' ).......:..: ). ).:. )00:00 ,. ). )0000. ).......:... )! .. ,. )... ). ). r.