1992, 03-16 Permit App: 92001577 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 l 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
='Rij_!ECT NUMBER= 92001577 DATE= 074/16/92 PATE= 0
•) *•E*3 )e THIS iS NOT A PERriIT ieie
F'E::'i=1ALT IES W]:L..I... HE: ASSESSED FOR COMMENCING WORK W]-(l-IIJI_IT A PER±
le*
STREET= i i 03 S' BLAKE RI;
ADDRESS= SFFfWAi4P: WA 99215
PERMIT USE= SEWER CONNECTION
ii** SEE NOTE ii**
PARCELO= 2254
WOL.FCRE::ST ( 92S-215 }
PL.AT4I= 002.945 PLAT NAME:= WOL.FCREST ADD
BLOCK= 1 000 LOT= 5000 ZONE= SFR
AREA= 00000000 F/A= F WIDTH=.
OF 11._DGS:=: 0 DWELLINGS= i WATER DIST
OWNER= DAUBL, J L
STREET= iii) ; S 531...AKE. RD
ADDRESS= SPOKANE:: WA 99216
PHONE:
DIST:::::
DEPTH=
CONTACT NAME= H & CONSTRUCTION F'I-IONE NUMBER=
%AIDING. SETBACKS: FRONT= N/A 1...1=FT:::: N/A RIGHT= N/A REAR= iti
di L;ii ii. di.:ni iRi'*-*******-
W.******** SEWER PE:R'rl]:1.
CONTRACTOR= H & S CONSTRUCTION
STREET= 1 1 81 r 1::. VrtI i..I::.YWAY AVE
ADDRESS= Si"'OKANI:.'WA 99206
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PHONE= 509 926 :S'9R4
]:TEE DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE r 110.00
SEWER CONNECTION i 40,00
PERMIT TYPE FEE AMOUNT AMOUNT E'A]:.Ct e;MDLINT OWING;
50,019 .riU 50.00
50.00 00 50,00
iOCi:::,' SET, BY: DOMITEt.n`-:i.CH, ROBIN
I=RINT'EiD BY: DOPIITRCi'VICH, ROBIN
SEWER STUB AS—BUILT INFORMATION iS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (45.6--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE: AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
SEWER I::I..:I f_i]:T
Tp LOCATE BURIE::D CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (4.56--60100)
SEWER STUBS ARE:: TO DE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
iciiiririi'iF3F'aa' L.A LL FOR INSPECTION PRIOR TO COVER riuieie****ieie
ieiefeiEiEiE*** 24 HOUR NOTICE REQUIRED 101010kieiei ***
•j('jt.*.p_..ri. it..jy..h. ri. 456-3604
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