1992, 02-20 Permit: 91008725 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile saidpermit/application true
and correct, and authorize Spokane County to proceed with processing In addilion. 1 have read and understand the INSPECTION REOUIREMENTS/NOTICE
provisions included herein and agree to complwith same All provisions o/laws and ordinances governing this type ^/ work will b*complied with whether specified
herein o,not / understand that the issuance mthis permit/application 000u~',ob,,*omtm,vvmm"^vvmvmoo,00mnomeow0000p^"o',hm/"mb"oo"mm"um
give authority t^violate ^, cancel the provisions many state o,local law regulating construction, o,m^warranty o/conformance with the provisions o,any state o,local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER VnAGENT DATE
PROJECT NUMBER= 91808725
ISSUED PERMIT DATE= 02/28/92 PAGE= 81
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1612 % BLAKE RD PARCELO= 2754i^183i
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION W0LFCRE%T (91%-142)
*** SEE NOTE ***
PLATO= 002.752 PLAT NAME= VERA
BLOCK= 1 LOT= 2 ZONE= AGRI DI%TO=
AREA= F/A= F WIDTH= DEPTH= R/W=
OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= ROSS, LARRY D PHONE=
STREET= 1612 S BLAKE RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
x***x**x***x***************** SEWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--- ------ ---
PROCESSING FEE FEE i0'88
SEWER CONNECTION i 48^88
****************************
*******************************
PAYMENT SUMMARY
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
82/28/92 ' 1075 50.00
------------
T0TAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 58^88 50.00 .00
^-^^^~`'----- ---------^~~
50.00 50.00 58^O8 ^88
PROCESSED BY: DOMITROVICH/ ROBIN
PRINTED BY: DOMITRDYICH, ROBIN
SEWER STUB A% -BUILT INFORMATION I% 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
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING/ WATER LINE%, ECT,
CALL BEFORE YOU DIG /456-8888)
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 ***K******
******************************** THANK YOU *********************************