1992, 04-27 Permit App: 92002847 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, ores a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92002847
APPLICATION PATI.::=: 04/27/92 PAGE=: 01
****** THIS IS NOT A PERMIT 3t3t3t3t3t3t
F'E:NAL_TIES WIL_I.. BE ASSE::SSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 504 S BLAKE RD PARCEL_1,= 22541-0501
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — SOUTH BLAKE (92E-395)
*** SEE NOTE 3t3tk
PLATS= 001051 PLAT NAME= GRAY ADD
BLOCK= 1 LOT:- 1 ZONE== UR --3.5 D:CSTr:= F'
AREA= F/A= F WIDTH'= DEPTH= R.
0 OF BL..DGS= i 4, DWELLINGS= 1 WATER DIST =
OWNER=
STREET= TOAKE R
ADDRESS= SPOKANE
2
16
CONTACT NAME= H S CONSTRUCTION
PHONE=
PHONE NUMBER= 509 826 8964
BUILDING SETBACKS: FRONT= N/A LEFT=LEFT=N/A RIGHT= N/A REAR= N/A
3*# 3t3F3t3r3t3t3tk 3t
3(-3t3t SEWER PERMIT
CONTRACTOR= H S S CONSTRUCTION
STREET= 11 81 7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FE:E.
SEWER CONNECTION
PERMIT TYPE
SEWER PERMIT
3t3t3r***3t3t3t#3t# 3t3t3r 3*3*3t3t3t3t3t
QUANTITY
PHONE= 509 926 8964
FEE AMOUNT
10,00
1 40.00
FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
50,00 ,00 SA AO
50.00 .00 50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRIM ED DY: DOMITRO'VICH, 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 ION AND POSITION (1F ,SEWER ,STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE: BURIED CABLES, GAS PIPING, WATER 1..INES, ECT.
CALL BEFORE YOU DIG (4.56--8000)
SEWER STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION TO INSURE
riiAT THEY ARE: CLEAR AND UNOBSTRUCTED T(1 IMF .SEWER MAIN
dl.h.k .A..#..X,C)t* CALL FOR I:NSP;EiINSPECTIONPRIOR'r0 COVERat****3F3Fx3t3t
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