1992, 06-12 Permit 92004274 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 regulatig construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION / /
DATE b ! i !�-
!,. * * P Jt !• ! ! ! Y u ! * A }S * 1+ A P h * 9k P * P 1 ! } PERMIT .1. 1`•1 I••'.1 R ?"! (•i 3 I !.. i 1'N 4 ;ui 'Hi * 1!• •t}• •Pj * Pj 'Ai iui -!}Fi -Pi -!{• •Ai Pi * •Pi •Nj •P:• •)f• iur :t: a• '& }t.*
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SI ?.±?` �•[!''?r WA 99206 .. ,
PERMIT ?.±,.`..::._. EEL ±!::!'; CONNECTION .... I..!I...! D 88....02 ,`' ,i':.._;ir`::`
9.....
1" ?...!•'t ! .,�...- 001834 PLAT NAME= i_?�"`i'` .. 14"•'.., 'j _..,:,_i-':!
A D
ADDRESS= SPOKANE WA 206
BUILDING sL. BACKS: FE,
WATER DIET
PHONE"PHONE= 509....... 7 1 •i ':;}
PHONE i-
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?. ON r 1";l..i+ j f:lf;`= OWNER I='I• %:i'''II::.=
ITEM M DESCRIPTION QUANTITY FEE AMOUNT
:':•1::.t41.:.t ?.:?.!t?NE?.: ? .r.?.!r`? 1 <;f.J . 0}
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PAYMENT DATE
06 `:1 2/92
TOTAL DUE=
PERMIT TYPE
SEWER PERMIT
RECEIPTO PAYMENT AMOUNT
4460 0 50.00
t'• Y.:. r::. AMOUNT AMOUNT PAID .1..? AMOUNT OWING
i i ?.! 1"t .?. ? R ?.! t:.i. t.: H ; I": E-, t !:. t N
E.D BY: : !,JO1"1.I. t 1Kr!: ?.: ROBIN
SEWER r ?.± B AS —BUILT INFORMATION 'I' ,` AVAILABLE ! • ..'. THE COUNTY
?.i ! .4. ?....t. 1 .I. t::. ,:'.•' DEPARTMENT C -<, -" '• i;j .4 .j .... ...
CONTRACT': OR APPLICANT '`
ELEVATION AND POSITION
I: Yi::AVAT:i.fii`v
AND k
EWER STUB PRIOR TO . i1''J Y !..J! I•4f
TO L..Uc:'firE :5L.IF :r.I:.r :::r:,r:?I...I:::;' GAS PIPING, WATER LINES,
CALL BEFC
DIG '. •456 - 50')0 •}
THE
: Ex ! : : ARE !t : CHECKED PRIOR f _: i.. , ,2!I i(. TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTF—
i i tSEWER MAIN
'N:•P:•Y: •P:'P:3t•'N*Jai CALL. FOR INSPECTION PRIM- fii' COVER **'> *;n;n:$i 'Yi*.j,,.
::..4 HOUR NOTICE REQUIRED i!• it' it i} i?• W iE .j,; ii. y:.
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x y �i• ii a ii r lr t , i t i '! .. }! ', .. THANK '• `:
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