1992, 10-22 Permit: 92009220 SewerSPOKANE 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 } s APPLICATION
OWNER OR AGENT ��Q! DATE
PROJECT NuiITIE::R:- 92009 20
:i:SSUE:D PERMIT DATE::-: 10/22/92 PraC;E:::: 01
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3: TE: STREET= 1917 ` CHE:RYi... Ci PAR(:;E::i---i'i:=:: 45253.9048
ADDRESS= VE::Fir"iI)Ai...E: Wt1 9903.7
PERMIT USE= SEWER CONNECTION --- Ei:LI)1 FMi'r -(- ESTATES NO. `> (92X-1004)
- )i•): SEE NOTE_ *):)i-
E:'t...AT•.::_: 005.178 HAT 1)1111E::=:: R:EI)GEMOr'JT ESTATES NO. 4 --- 5T1i
BLOCK= i !._O'I.:: t: ZONE= UR -3.5 DIST4= i::
AREA—00000000 E:•/'F•tWIDTH= DEPTH= - R /W=::
OF Eti...I`i(rS:::: i 4 DWE t...i...:Lti(rS:::: i WATER DIST =:: VERA
OWNER= 1...ANzCE:: DOUGLASS DOUGLASINC
STREET= 815 E ROSEWOOD
ADDRESS= SPOKANE: WA 99208
CONTACT iJAME::::: PI-i:INE NUMBER:::
EIUTt...D:I:NCr SETBACKS: FRONT=:: N/A i...E:.1:•T=:: N/A RIGHT= N/A REAR= N/A
PHONE= 50-.' -489 .4260
50
)i)E):):*)iie):*k):)i-*tic):is%):):):tib•'r.•):*k): •*)i•SEWER PERMIT 3-)* h i
)))nt tiNir )o**)i)* ia ) c ))):
CONTRACTOR= DOUGLAS.`}, i...AN:i.C;i::: (; PI•-i(:)NE:::: 509 489 4.:260
STREET= 8i5 i. ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
ITEM DESCRIPTION QUANTITY E:•E::E: AMOUNT
PROCESSING FEE r' 10.00
Si:::i4i:::i:; CONNECTION i 4().00
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E:` F•7'f' r'1 is:. 1� • (• S u tl 1" t Fi Eti T' * it• )k )i * * )k )l- )c a * * 3i• •x• 3i• it A ft 3E ): )a )i• ): * )i• * ): *
PAYMENT DATE REOE I PT:x: PAYMENT T AMOUNT
10/22/92 9355 50.00
TOTAL DUE= :.00 TOTAL PAID= 50.00
PERMIT -T-r.E:'E:: FEE: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED B/.: DOrS3.TR(.f1JIC:H, ROBIN
PRINTED BY: D(.)ti3:TROV3:Ct•i, ROBIN
SEWER s:ii•JI:t AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT T- (4a6•-3604)
CONTRACTOR OR APPLICANT NT 3:S TO F3:E:L..I) LOCATE AND CONFIRM THE:
ELEVATION AND POSITION ("1r: SEWER R ST(.1B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED E::D (::AEIi...ES , GAS PIPING, WATE:E LINES, ECT.
c'-r.i... BEFORE YOU DI .4s-.---8000:1
SEWER STUBS ARE TO EtE:: CHECKED PRIOR TO CONNECTION TO INSURE
T1 -.1x•17 THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWERtir"7:[13
R)i•ri•-ii••x•x* .:• CALt... E:'(:3Et. INSPECTION PRIOR TO COVER • *}:-A):....•r:*
): 9: P• ): l: )t' # ): ): 24 HOUR NOTICE l E tk(-E.LRi`.I) •}i' *' )G lG 7' * 3i• l: *
. .A:)l•.Ai•k)GNi*•i: 456-••360.4 •1 ....•)i•ii•***)i•
)i**):):):):)::M.**ri):):ii-•n)i-):):):**):*ri :••r:):):):):ii• THANK YOLi is.p.N.)i-)i- )E): ): )ik.)t•*)i•*):ii'*)E):Mit)i.tic)i-ii-ri#)i)i