1992, 10-12 Permit 92008770 Sewer Hook Upe
in
t and
me or my
ent to
ile
id
lication is true
andtcothat I have examined this rrect, and authorize Spokane�County to proceedstate hw with procat the essing. In addition ion, Ilhave read submitted
and by
the INSPECTIONaREQUIREMENTS/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 ornot. loviol 6 eissuance
ovisio this permit/application aregulating
dulatngconstructio ,ors ant inspection warantyof onfrovals or oricates of mancewitththeprovisonshall
sofannysateorlocall
give authority to viol or cancel t pr�v_isio of a r 9 9
laws regulating co truction.
SIGNATURE O APPLICATION JO - / '�
OWNER OR AGENT DATE 6 L
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
PROJECT NUMBER:- 92008770
ISSUED PERMIT
i)ATF •= t 0 1 2/ 2 I' AGE = 01
r I
......... :-` .1. Ike I- �.! Fti I i (�`t T �. C1 i�`1. 'n' •H: •h: •h a• it- it •N:• •'n.• •n- -rr �i •}{• .A' i�i •i4 '}a i�: 'it..}{• .x .R..p; .W ' ' ,. �•
�r{• •}i ri ii �: •x 'n �{• �{-t{- ki R• •h:• ii �{• it• �t• �rk fi �: u �• k:• ••}e •n •n- •P'r 1{• F:. Fti �1 1.
SITE: STREET= 13722 F_• BROADWAY AVE 1/2
it i 19921
fi._ I.F.ES,t::: SPOKANE WA ?�> . i i)
PERMIT USE:::: SEWER HOOK --UP 41039
PLAT :=•: 002755 PLAT NAME= VERA _
BI._i.JCK =: 5 I._OT= 2ZONE= UI�'. 3.' D.l i O•= i.-
AREA== F 7=:: F WIDTH=:: -10 } DE:PTH:= 200 R/W=
•"• OF BI DC;S:-: 2 4 DWELL.INGS::= i WATER DIST =:: VERA
PHONE509 924 7939
OWNER= TR 1 NDL.E , RUBY
T - - w ....
� t FLE i:.'i .... 13722 E BROADWAY AVE •i ;'2
ADDRESS:::: SF'`OI<ANE. WA 992-16
a.... 451 0502
CONTACT NAME_: TOM PHONE:: NUMBER= 509 928 7710
BUILDING SETBACKS: FRONT=- Nrt I...EFT'= NA RIGHT= NA REAR: NA
M*M ip9n b*{k}{t jpA ?Ph{{}k H*{ * S EwE FPERMIT PE H*k * p..A*R .{{iHu }ri l k {h AA}{Ph
CONTRACTOR= TOM STONE EXCAVATING
STFE E::-i'.M, PO BOX 14154
ADDRESS:::: SPOKANE WA 99214
509 926 7710
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F E. E" Y 10.00
SEWER CONNECTION i 40,00
*r4 i *M i i kt r E kc nai>rt s E iNn{kx{i# PAYMENT E! MFA rY * n{* * i4 J3* E fi3* * * a * * h{}*NH* iir
PAYMENT DATE. RECEIPTR: PAYMENT AMOUNT
10/12/92 8896
[ 50.00
TO'i'AI... DUE= .00 TOTAL PAID::= 50.00
TYPE �PE" F'EE. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: FtARRY HUSF L..OEN
PRINTED BY: B;ARRY I'fl_ISF'i._OEN.
y3{F 3#k 39P*{?kkink **k 3¢ {*Ky{x PR > THANK
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