HomeMy WebLinkAbout1992, 05-06 Permit: 92003139 Sewer ConnectionSPOKANE COUNTY DEPARTMENT 8FBUILDINGS
W. 1mm BROADWAY AVENUE
SPOKANE, WASHINGTON yoeo
(509) 456-3675
/""mwm* have examined this permit/application, tate thatthe information contained in itandsubmitted by me or my agent . n said permit/application istrue
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 thatthe issuance ofthis 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 st te or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction. 0&1'/
SIGNATURE OF APPLICATION
OWNERORAGENT DATE Z41
PROJECT NUMBER= 92003139 I%%UED pERmIT DATE= 05/06/92 pAcs~ 0
PERMIT INFORMATION
SITE STREET= 1524 % ADAMS RD PARCEL-4— 23543-250a
ADonE�%~ YEnADm-E WA 99037
PERMIT USE= SEWER CONNECTION - VEnAcns%T (92E-435)
***
SEE wO/E ***
PLAT`~ o0275i PLAT wAxs~ VsRA
B ~ L. C ~ ZONE= AGRI oz ~ r
AREA= OoOOowoo F/A~ F WIDTH= i00 DEPT*~ R/W~ 50
� Or BLD�%~ 2 � DwEi LINi-19= i WATER Dz%T ~ VERA
OWNER= GULLETT RICK PHONE= 589 922 565*
STREET= 1524 S ,�DAM% RD
ADoRs%E~ vsnAoAL.E WA 99037
CONTACT NAME= RICK GULLETT p*oms wumBsn~ rop 9z2 ra54
BUILDING %ETBAcxz. rnowT= N/A LEFT= N/A RIGHT;;- N/A REAR= w/�
***************************** zswsR psnmzT ******************************
CONTRACTOR~ OwNsn p*ons~
ITEM DESCRIPTION QuAwTzrY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y iO.ow
SEWER CONwECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4. PAYMENT AMOUNT
|
05/06/92 3354 50 .0 O
/ --_---------
TOTAL DUE= .00 TOTAL PAID= 50. 00
E AMOUNT AMOUNT PAID AMOUNT OWING
� PERxIT_Tvps__ �s�u___ �__ m__________
%EWER PsRwIT 58.CIO 50 00 .nw
| ------------- ------------ -------------
.
50.1 00 50 .0 0 .00
PROCESSED BY' DOmITnOvzC*. ROBIN
pnzwTso BY' nomITnOvIc*. noBzw
%Ewsm STUB AS-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT(456-3604)
|
' CONTRACTOR DR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
| ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
sxcAvATzOw
TO LOCATE BURIED CABLES, ,AS A% PIPING, WATER LINES, ECT ^
CALL BEFORE YOU DIG (45�-8OOO>
SEWER STUBS RE TO BE CHECKED TO CONNECTION TO INSURE
THAT THEY ARE CLEAR %T D TO THE SEWER MAIN
********* cA�� FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
| ******************************** THANK YOU *********************************