1992, 06-11 Permit: 92004215 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROAbWAY 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 t.- . ance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orc.• el the p •visions of any state or to . .,, egulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructi• .
SIGNATURE OF APPLICATION
OWNER OR AGENT � d ' ' i DATE
PROJECT NUMBER= 92004215 ISSUED PERMIT DATE= 06/11 /92 PAGE= (
;c*****SRN:***•x•** • ' • :k*******a>:* PERMIT INFORMATION •*****'***' **3'****•H**9t*.H.Pl'P•*9lb.•
SITE STREET= 12123 E 38TH AVE PARCEL4= 45331 z 9004PTN
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- MIDIL»OME 6TH (925-616)
* •* SEE NOTE 3**•*
PLAT4= 005026 PLAT NAME=: MIDIL_OM"r:: 6TH ADD
BLOCK= 6 LOT= 4 ZONE= UR--:3n5 DI:ST: ::=
AREA= 00(100000 F/'A-: F" WIDTH=H= E)4 DEPTH= 130 res:/W= '.::iii
0 OF BL.DGS== i 6 DWELLINGS= I WATER DIST -: MODEL
OWNER= CYREMY, INC PHONE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS:- SPOKANE: WA 99206
CONTACT NAME= FRANK COBB PHONE NUMBER= 509 924 9406
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR== NA
)t•Vit•'M*k**b:*•k***')>.•*?4 N:a'/t'H.•*)!it•It b•h R jl* SEWER PERMIT •at a•**#*•x :k•;t***•x••;t••x ri*M:* ••li* • •* • •it*
CONTRACTOR= UNKNOWN PHONE=
STREET=:: UNKNOWN
ADDRESS:::: UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE ' 10.00
SEWER CONNECTION I 40.00
*. ** * * '*3 't* PAYMENT SUMMARY •kiiu** :#*•ii*3ii>n i***kiiii••)t.i{..y1.:.:14**.;,,.
PAYMENT DATE RECEIPT N: PAYMENT AMOUNT
06/11 /92 4424 5'0hD0
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50 . 00 .,00
50.00
50.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE: SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT ..THE:: COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIEI...I) LOCATE: AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456--000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*** • •n• :* CALL FOR INSPECTION PRIOR TO COVER x*• *•n* i •
**** **** 24 HOht" NOTICE REQUIRED RED **ai•#** '* '#
k•****K•x•tt* 456-3604 •********•>t
u **** r•i**************r>:******** THANK YOU *•N:**•>z kai***********i*******i *****.yt.