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1992, 06-11 Permit App: 92004225 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 !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 REOUIREMENTS/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 speed led 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, oras a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE PROJECT NUMBER= 92004225 APPLICATION DATE= 06/11/92 PAGE= Oi ****** THIS IS NOT A PERMIT ****** PENALTIES WILL.. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 805 S BLAKE RD PARCEL4== 45224.0631 ADDRESS= SPOKANE WA 99256 PERMIT USE= SEWER CONNECTION -- WOLFCREST (92S-595) *** SEE NOTE *** PLATO= 002404 PLAT NAME= SOMMER'S ADD TO WOODWARD PARK BLOCK= 5 LOT= 1 ZONE= AGRI DIST4= F AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 4 OF BLDGS= 5 4 DWELLINGS= 1 WATER DIST = OWNER= STURM, LARRY PHONE= STREET= 805 S BLAKE RD ADDRESS= SPOKANE WA 99216 CONTACT NAME= ALWAYS ACTIVE -- RON SLOAN PHONE NUMBER= 509 922 8500 BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A ****..*.************************ SEWER PERMIT ****************************** CONTRACTOR= ALWAYS ACTIVE STREET= PO BOX 141562 ADDRESS== SPOKANE WA 99214 PHONE= 509 922 8500 ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCESSING FEE Y 10.00 SEWER CONNECTION 1 40.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50.00 .00 50.00 50.00 .00 50.00 PROCESSED BY: DOMITROVICH, ROBIN PRINTED BY: DOMITROV'ICH, ROBIN SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER E:XCAVATION TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT. CALL BEFORE YOU DIG (456-8000) SEWER .STUBS 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 *..*.*.*.*.**.*..*.*. ********3e**********************if THANK YOU ********************************* SEWER/PLUMBING PERMIT APPLICATION FORM INFORMATION WORKSHEETl' JOB STREET ADDRESS: 5. 15O \ 1BL.{}k E , , CITY/STATE/ZIP:51 oKANP , t).1r,,QQz.1iQ PARCEL NUMBER: f'i•Saot*. aS 701. OWNER:RIC{kRZA 1-.•RERRS1)1 PHONE NUMBER: (ea) 9c2e-1573 MAILING ADDRESS:5•ISO I "'ALA kcS Rd, 5pnkANe j tAA . ggatie (Street) (City/state) (Zip) CONTRACTOR: ©U1Nef: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/state) (Zip) DESCRIPTION SEWER CONNECTION PLUMBING ALTERATIONS SIGNATURE uil la X EACH UNIT =AMOUNT X 50.00 = X 35.00 = SUBTOTAL $ EQUALS: TOTAL PEMIT FEE DUE =$ Vera. Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675 pZ_u214o