1992, 04-16 Permit: 92001588 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, / 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= 92001588
I%%UED PERMIT
DATE= 04/16/92 PAGE= 01
LE�
**************************** PERMIT INFORMATIGN ****************************
%ITE %TREET= 97O5 E ARCHERY AVE PARCELO= 20543-1317
ADDRE%%= %POKANE �A 992O6
PERMIT UJE= SEWER CONNECTION - ULID 48802 (92%-2i7)
*** %EE NOTE ***
NOTE ***
PLATO= 002367 PLAT NAME= %HERWOOD FOREST (WHI%PERING PI
BLOCK= 3 LOT= 17 ZONE= %FR DI%TO= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 0 DWELLINGS- i WATER DI%T =
CONTACT NAME= SHEILA CHRISTEN% -4
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RI�HT= N/A REAR= N/A
PHONE= 509 924 9673
_�_ PHONE NUMBER= 509 924 9673
***************************** SEWER PERMIT ******************************
CONTPACTOR= OWNER
ITEM DESCRIPTION
------------'
QUANTITY
--------
PHONE=
FEE AMOUNT
----------
PROCESSING FEE Y 10.00
40.00
SEWER CONNECTION
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/16/92 2780 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 5O.0O 50.00 .00
------------- ------------ -------------
50.00 50.00 .00
PROCE%JED BY: DOMITROVICH
PRINTED BY: DOMITROVICH
R
RO
IN
IN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIEL� LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE
CALL BEFOR
GAS PIPING, WATER LINES, ECT.
8000)
%EWER %TUB% ARE TO BE CHEC�ED PRIOR TO CONNECTIGN TO IN%URE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE %EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
**********
********* 456-36O4
******************************** THANK YOU *********************************