1992, 06-04 Permit: 92002847 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that 1 havo examined Ihis permit/application, state Ihat the inlorinalion contained in 1 and submitted by me or my agent to compile said permit/application is true
and correct, and authSpokane County to proceed/m processing processing In addition, 1 have read and understand the INSPECTION REOUIREMENTS/NOTICE
provisions included herein and agree to comply comply with same. All provisions of laws and ordinances governing this type 0* work will be complied wilh whether specified
herein o,not. / understand that the issuance * this et/x»/ toouodo,/mbmov"~"tm,vwn000pvn~u"o,nem/mutesmoccup^m?,^w/^^tw0000mm"om
give authority mviolate o'cancel the provisions * any state o,local law regulating construction, o'umwarranty o/conformance with the provisions many state o,local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OnAGENT DATE
PROJECT NUMBER= 92082847
ISSUED PERMIT DATE= 06/04/92 PAGE= 01
***»**«****«**************** PERMIT INFORMATION ***********************"***
SITE STREET= 584 C BLAKE KD PAKCE|'4= 22541-058i
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - SOUTH BLAKE (92E-395)
»** SEE HnTE ***
PLAT0= 88185i PLAT NAME= GRAY HDD
BLOCK= LOT= i ZONE= UK -3^5 nIsT�= F
AREA= F/A= F WIDTH= DEPTH= K/W=
0 0F RLDCS= i 41 DWELLINGS= i WATER DIST
OWNER= TUORE%DN D R PHONE=
STREET= 584 BLAKE RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME- H ;5, J CONSTRUCTION PHONE NUMBER= 509 82,5 8964
BUILDING SETBACKS: FRONT= N/A LEFT- N/A RIGHT= N/A REAR-, N/A
*»»*********+**************** SEWER PERMIT **»*********O»************»***
CONTRACTOR= H tx J CONSTRUCTION PHONE= 509 926 8964
STREET= 11017 E VALLEYWAy AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------------------'---- -------'
PROCESSING FEE FFE Y i8`08
SEWER CONNECTION 1 40.88
**************«**************** PAYMENT SUMMARY xx**************+xxxx*xxx***
PAYMENT DATE KFCF1P74 PAYMENT AMOUNT
06/04/92 4187 10`80
TOIAL DUE= D;E= l0f0L PAID= 58'08
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT 0WTO[
-------------' ----------'-- ------------ --'
SEWER PERMIT PERMlT 58'88 50.00 '88
------------- - '---'----
50.00 50 58.88 .80
PROCESSED Ry: V0MITROVICH/ ROBIN
PRIHTEDr\BY: D0MITRO3ICH' ROBIN
%EWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE C0UVrY
UTILITIES DEPARTMENT i-45 -3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR 70 ANT' OTHER
EXCAVATION
TO LOCATE BURLED CABLES, GAS PIPING' WATER LINES, EC(,
CALL BEFORE YOU DIC (456-908:)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION T; INSURE
SEWER THAT THEY ARE CLEAR AND UNOBSTRUCTED T; THE ,EU`R MAIN
******* CALL FOR INSPECTION PRIOR TO COVER ***vv**vxx
******** 24 HOUR NOTICE REQUIRED ^********
*v�v**xxx 456-3604
*******************v*****xx*v*** -THANK YOU **************»******************