1992, 08-04 Permit 92005776 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
PROJECT NUMBER= 92005776 ISSUED PERMIT
3i 3r 3e 3e}i.3i3i ***** 3i3k3i3*3i.ri..ii..li.3i
DATE= E= 08/04/92 PAGE__ 01
PERMIT INFORMATION 'P:3F3Y'3t'Y:9::n:3c3>:3f R'3l'3f'R')t
SITE STREET= 13018 E MISSION AVE PARCEL::= 45i52,O10i
ADDRESS= SPOKANE WA 99216
or
PERMIT USE= SEWER CONNECTION — DEVELOPER CONNECTION AGREEMENT (92S-734)
*** SEE NOTE 3P3e3E—
PLA fa= 001880 PLAT NAME= OWENS SUB
BLOCK= f LOT= i ZONE= UR-22 DISTn=
AREA= 00000000 F/A= := :WiIDTH= :l?EPTHE=
4 OF BLDGS'= 'I , Dv ELL.INGS= '1 WATER DISi =
OWNER= FRY, AUDRY
STREET= 13018 E MISSION AVE
r,DDRESS= SPOKANE:. WA 99216
PHONE= 503 922
= 60
CONTACT T NAME= H .& S CONSTY:UCTIOiN PHONE i'•IiJMBE::R= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT== N/A ..;=EAR== N/A
nrxnrik Mtii 3i ir3nr r i 3a3>ve 3r 3ikSEWER PERMIT 3v3ii..riii3i•x 1931r
a
CONTRACTOR= H ix S CONSTRUCTION
S I REE T= 11817 E 'ALLEYWAY AVE
ADDiRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
1
0,00
S 40,00
1i3*3*1*3Eif E**************** 33*PAYMENT SUMMARY hAk* *a*** 313t x'di"ii"ni d:i9
PAYMENT DATE
08/04/92
TOTAL DUE=
(PERMIT TYPE.
SEWER PERMIT
RECEIPT4 PAYMENT AMOUNT
6113 50,00
.vt'r TOTAL PAID== 50,03
FEE AMOUNT AMOUNT PAID AMOUNT OWING
50,00 50,00 ,00
50,00 50,00 .00
PROCESSED BY: D ;:MIRO'V:[CH. ROBIN
PR- .:. ij %iY DOMI. TRO'V.I.CH, ROBIN
J:_•+LI Ima. ti r`§��ARTM7._T J. CV i'56.31 }. L f7 •F' AILAEij..E AT THE COUNTY
tJ T .l. L...{. T.i.C.S DEI' Ai\T!"1{C.n { :'v5•_)-'Jbt?4 /
CONTRACTOR OR APPLICANT IS TO F
ELEVATION AND POSITIONu SEWER
EXCAVATION
—4TE AND
ti CONFIH
R..Ci'l' ANY O?-
HE
LOCATEBURIED LAiLGAS I lWATER LINES, ECT
1... BEFORE ..._.. ._.__
UBE
E
56-800 _, i
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