1994, 05-04 Permit: 94003897 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY • SPOKANE, WA 99260-0050
(509) 456-3675
SITE INFORMATION
PROJECT INFORMATION
SITE ADDRESS: 1415 S BLAKE RD
SPOKANE WA 99216
PARCEL NUMBER: 45224.2571
SUBDIVISION: VERA
LOT: 71 BLOCK: 25 ZONE: AGRI
INSPECTOR: REED OCKEY
WATER DIST:
OWNER: VETERANS ADMINISTRATION
PHONE:
ADDRESS: 1415 S BLAKE RD
SPOKANE WA 99216
PROJECT NUMBER: 94003897 ISSUE DATE: 05/04/94
PERMIT USE: SEWER CONNECTION 94S-478 / WOLF CREST /
APPLICANT: VETERANS ADMINISTRAT
PHONE:
ADDRESS: 001015 S BLAKE RD
SPOKANE WA 99216
CONTACT: A A EXCAVATING PHONE: 509 922 0395
SETBACKS -> FRONT: NA LEFT: NA RIGHT: NA REAR: NA
LENDER NAME:
PHONE:
ADDRESS:
PAYMENT SUMMARY
NOTES
PAYMENT DATE
RECEIPT#
05/04/94 00004770
TOTAL FEES AMOUNT'PAID
$50.00
PAYMENT AMOUNT
$50.00
AMOUNT OWING
$50.00 $.00
ISSUED PERMIT BY: JOHN LARSON
***FOR SEWER STUB AS -BUILT INFORMATION AND INSPECTIONS, CALL
THE COUNTY UTILITIES DEPARTMENT AT 456-3
CONTRACTOR OR APPLICANT IS TO FIELD LOC
ELEVATION AND POSITION OF SEWER STUB P
EXCAVATION
R T
FIRM -THE
i
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 **********
PERMIT S
SEW
CONTRACTOR -
A A EXCAVATING
LICENSE #: AAEXC**088N0
;EWER CONNECTION
1
'ROCESSING FEE
10.00
'OTAL PERMIT FEE
$50.00
PAYMENT SUMMARY
NOTES
PAYMENT DATE
RECEIPT#
05/04/94 00004770
TOTAL FEES AMOUNT'PAID
$50.00
PAYMENT AMOUNT
$50.00
AMOUNT OWING
$50.00 $.00
ISSUED PERMIT BY: JOHN LARSON
***FOR SEWER STUB AS -BUILT INFORMATION AND INSPECTIONS, CALL
THE COUNTY UTILITIES DEPARTMENT AT 456-3
CONTRACTOR OR APPLICANT IS TO FIELD LOC
ELEVATION AND POSITION OF SEWER STUB P
EXCAVATION
R T
FIRM -THE
i
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 **********
CCNTRACTOR
INSPECTOR &AN8
COMPANYSPNC,Air C
DATE !NSTA1JE2fIIJ; 7
STUEt DIA.. q TWE
LENGTH
CENTERLINE STATION 8+3
INVERT EL 2 0 0
DEPTH mom NATURAL ;
GROUND TO STUB
LOCAL B.U. ELEV. 0 711 5 -;
DESCRIPTION OF LOCAL BM. _12:1
$, E. cot,oeft.
NOTE: 'AIHERE POSSIBLE MAKE 71ES TO TOPO SHOWN ON PLANS
PROJECT NAME: 1010/..F Cf?..E.GT
REF. DRAWING NO. li-31
RE NUMBER: U-qH
j z pARca: 2 2.5 q - 57 /
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