1992, 06-04 Permit: 92003944 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 u with processing. In addition 1 have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree mcvm ."°°.." °.p".."."""".."""="".""."..^= .'~~'^~'~``^'~^~~~^^—'``''~`
hom/nv,not./vnoo�annmmmo/oouunoo�/� permit/application anuo mnou�am000upa�y shall nmuo���rued 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 OnAGENT DATE
PROJECT NUMBER= 92003944
ISSUED PERMIT DATE= 06/04/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 9621 E ARCHERY AVE PARCEL4= 20543-1134
ADDRESS= SPOKANE WA 99206 |
PERMIT USE= EWER CONNECTION — %HERWOOD FOREST (92%-543)
*** SEE NOTE ***
PLATO= 082367 PLAT NAME= %HERWOOD FOREST (WHISPERING PI
BLOCK= i LOT= 34 ZONE= MF% DI%T4= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDG%= i 4 DWELLIN�%= i WATER DI%T =
OWNER=
STREET=
ADDRESS=
THOMP%ON� RAY
962i E A�CHERY AVE
%�OKANE WA 992O6
PHONE=
CONTACT NAME= H & s CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS. FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTO = H & % CONSTRUCTION PHONE= 509 926 8964
%TREET= ii817 E VALLEYWAY AVE
ADDRE%%= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
SEWER CONN
CTION
******************************* PAYMENT
PAYMENT DATE
O6/O4/92
TOTAL DUE=
PERMIT TYPE
--------------- --
SEWER PERMIT
PROCESS
PRINT
BY: DOMI:
BY: DOMI
SEWER %TUB AS
UTILITIE DEP
SUMMARY
10.00
40,00
****************************
RECEIPTO PAYMENT AMOUNT
4187 50.00
------------
.00 TOTAL PAID= 50.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------ -------------
50.00 50.00 .00
----------- ------------ -------------
50.00 50.00 .00
ROBIN
.H. ROBIN
T INFORMATION IS AVAILABLE AT THE COUNTY
(456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHF�
EXCAVATION
TO LOCATE BURIED CABLE%, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8O8O)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED ******** **
********* 456-3604 **********
****************************** THANK YOU *********************************