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1992, 03-13 Permit App 92001510 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 OF APPLICATION OWNER OR AGENT DATE E {?r3 rE:�:::: �:?3/ 1 _h/9 ? PAGE.:: 01 PROJECT l�L�i~i�+I":{� �- 92001510 APPLICATION * 3i• 3i• 3i ii• * THIS IS NOT A PERMIT -r..ji.:a: -x: 3i• •ii• PENALTIES WII...i... BE ASSESSED FOR COMMENCING WORK WITHCti.•i.T A PERMIT SITE STREET:::: 11801 F MANSFIELD AD RE::SS=: SPOKANE WA 99206 PERMIT USE:= SEWER CONNECTION •-- .ii ** SEE NOTE •ii) •i;: 1'' E... A i T BLOCK- AREA = 0 OF RL_DGS:::: OWNER-- STREET:::: ADI)RES'S= 0020-i 9 00000000 .9. ,i .„. AVE ,E E''ARCI:,E.. 4= 0 9544-l:lr'50 i PLAT NAME-: 1._ O T = F/A 1)WEI._I._INGS:::: (92E-1 96 ) t•'i.NE:.(..:RoFT 1ST AD)I> r.' O N E ::= RI: F W I D T i..1.-: 10 WATER D.E S MURRAY 11801 1: i•iANSFIELD AVE SPOKANE WA 9 206 CONTACT NAME.::::: G€)BER & SON BUILDING SETBACKS: 1-RONT= N/A I._E:'I"T::= !filar NYt C *E 1N33Ni A3ct ilt HPYb3;i3JHSEWER pERMIT CON r RACT OR:::: (.rOBE: R,:: FUEL & OIL STRE.:E::T= 11215 I::: TRENT AVE:: (DDRE:.,S'S= SPOKANE Nt WA "9206 ITEM DESCRIPTION PROCESSING FEE SEWER CONNECTION PERMIT TYPE SEWER I::IERN1IT PROCESSED PRINTED FEE AMOUNT 50.00 50.00 ai (.? M 1. T R O u I iC ri , ROBIN 1)flti.I.TROVIC,I"I! ROBIN }N PHONE= (COPY IN PRI DIST:Ef'- H PHONE NUMBER= 509 924 5372 RIGHT= N/A REAF:::: N/A •u : 3j 3 .....}i• ii •.. ii .. i+:. 3r: •}i• ..... -ik .it.....ii..ii..ii• •i':• * i+: A• •N; PHONE- 509 924 5372 QUANTITY FEE AMOUNT 1 t: i :. 0 0 40.00 AMOUNT PAID .00 .00 (iiOt.iNT OWING 5 0 Efl) 50.00 SEWER STUB AS —BUILT INFORMATION IS AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604 ) CONTRACTOR OR APPLICANT IS TO FIELD LOCATE:: AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIEDCABLES, GAS PIPING, WATER E:R LINES,:..: A CAE_.L.. BEFORE YOU r I CT (456— :s000) SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE THAT THEY ARE CLEAR AND UNOBSTRUCTED RUC' ED TO THE SEWER MAIN * * * •>t• •it •it 3{• * 3i• CALL t'' i.} R INSPECTION PRIOR TO COVER •ii• •ii• 3{• 3i• •it• •ii 3i• -N: 3t- -ik ii• 3t• •}i tt h }t ft * * 24 HOUR NOTICE REQUIRED *h x is * * ri li 7i .1- .x. •ji• 34 3l 3i. 3;. 3i..yi. 4 5 C6 .... 3 6 0 4 : :..iE •ii..}i..ji..}4 •i6 ii . * *rrrriaaat t 6 F F 3*3axarnt }333r :t iTHANK -t ; Y .tx*k@ ihi33~ i i333i3t t ixnr nx3 hi333>i