1992, 10-14 Permit: 92008638 SewerSPOKANE COUNTY,f;s.EPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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= <t....008638
****X****************
ISSUED PERMIT
FIr&MIT INFORMATION
SITE STREET= 1011 BLAKE RD
ADDRESS= SPOKANE- ' F3 99216
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DATE:::: 10/14/92 PAGE, 01
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PARCEL4= 45324,'
3 '
PERMIT- USE= SEWER CONNECTION — WOLi=CRES T (925-984)
3t*X ,SEE: NOTE xu},
E'L AT; = 002945 PLAT NAME= WOL_FCREST ADD
BLOCK= iCOO LOT= •' ZONE== SFR DtST'u= F
AREA=:: 00000000 F,•A= F WIDTII== DE:PTH= R/W== r$O
OF BLDG'S= i xDWELLINGS= i WATER DIST -
OWNER== NIHRI
STREET= 1011 S BLAKE RD
ADDRESS= SPOI'ANE: ,,IA 99216
CONTACT NAME= ALWAYS ACTIVE
PHONE=
PHONE NUMBER—
BU:Cl._DING SETBACKS: FRONT= N/A 11F1::= N/A RIGHT= N/A R:i=.14R::= N,A
3i'3,3t'**R'3,h'3,''3i''1,'*'3i3*M1' 3,}i....*3r3i'i43i'*3, it x'R' 34
CONTRACTOR= ALWAYS ACTT
STREET= PO :BOX 1415
ADDRESS= SE`OKANI WA '''?
ITEM DE.SCFiT:E'TisON
PROCESSING FEF
SEWER CONNECTION
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SEWER PERMIT
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r0
.ii.}l'3,3,'3,'3i''3t)363,'3,i,'3i 3** 36A'3*Ii'#;i' ii. 3f X*
PHONE:::: 507 9
QUANTITY
{
YHE::NTSUMMARY 3,3t.373i
EE:E. AMOUNT
PAYMENT DATE RECE.TP f1 PAYMENT AMOUNT
10/14/92 899 r 50.00
TOTAL.. DUE= :.00 TOTAL PAID -= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAiD AMOUNT OWING
SE-:WE:R PERMIT `_ 0.00 50.00 .00
50.00 50.00 .('0
PROCESSED BY: DOMITRrO[cI-I, ROBIN;
PRINTED 13Y. DOMITROVICii, ROBIN
SE:WE:F? STUB AS—BUILT INFORMATION IS AvAI:i._r'i}.ti...i:C AT THE COUNTY
NTY
UTILITIES DEPARTMENT 1456-3604)
CONTRACTOR OR APPLICANT IS '(0 FIELD LOCATE AND CO•;wFT11"ri flii
ELEVATION AND POSITION ,1 I"r SEWER STUB PRIOR 10 ANY (TOFF
EXCAVATION
O LOCATE BItR.i:
:... .. _ _
t.ril...l.. BEFORE YUi.,I t1 IG -4t000)
_..
CABLES � 1.n F7,.. PIPING x, WATER ::. '{ .....1 .::. ,.:.. i':. i.:r..
SEWER STUDS ARE T'i:I Ii3Ei: CHECKED PRIOR .1:) CONNECTION TO
INSURE
THAT THEY
lY lRiINSPECTION
AMP UNOBSTRUCTED TO THE SEWER •a
;p
:xxxner3iCALL
T: Iy G' P E:: i:` TI: it I J PRIOR TO COVER Ji..a..n n: * * x x * dr:
n:3rJ},}r;}i}h*** 2,:y HOUi` NOTICE REQUIRED ##}Hi#ii'n;i,Ts3,
*****X*** 15 -3604 ********g*
*******4 *****X********
**ix* 3¢}F p:3i' THANK YOU 1
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