1992, 05-13 Permit App: 92003368 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 u withvmoossmo In additionhave 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. 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
��OJ�CT NuMBEP= 9200336G
APPLlCATTON DATE= 05/13/92 PAGE= 01
***** �HI� �% NE�p�MIT ******
PENALTIES WILL BF AE%%ED FOR COMMENCING WORK WITHOUT A PERMIT
--------------------------------------------------------------------------
-= 1804 E BLAKE RD
%J= SPOKANE WA ';'9206
PARCELT= 27541-i5O8
PERMlT U -EWER CONNECTION - SOUTH BLAKE (92%-464)
*** ::;EE f.-jOTE ***
pi OO2752 PLAT NAME= VERA
8L��L� L�= ZONE= A�RI D
�REA= -°r.:1%/"'!;.F/A= F WIDTH=
s OF BLDG -
OWNER=
� ��ELLIN��= 1 WATE DIST =
�
�
OWNER= HAM{LTCN, JD
----PT = 104 % BLAKE RD
ADDRE%%= �POKANE WA 99206
BUILD
NAME= CGURCHAINE EXCAVATION
TBACFRONT= N/A LEFT= N/A
PHONE=
r�= F
R/W=
PHONE NUMBER= 509 924 5485
RIGHT= N/A REAR= N/A
PERMIT ******************************
�J���ACTGK= C • GPHONE= 509 924 5485
VERAD�LE
ITEM DESCRIPTION
-----------------------
P�OCE�JIN� FEE
SEWE� C�NNECTIGN
FEE AMOUNl
BY:
BY:
RCl
RO_
QUANT ITY
FEE AMOUNT
----------
iO.0O
40,00
AMOUNT PAID AMOUNT OWING
.00
-------------
50.00
-------------
.00 5O.00
%EWE� �TJB AS -BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILI�TMENT /456-3604)
/�GNTRACTGR OR APPL]
FLFVATliiw AND POST,
EXCAVATION
:O BURIED CAB
CALL liFFOi YOU DIC
EEWER STUBS ARE TO
TkA7 THEY ARE CLEAR (
*«***** CALL FOR
********* 24 �Ci!
*****«***
ATE AND CONFIRM THE
IOR TO ANY OTHER
GAS PIPING, WATER LINES, ECT,
89��)
TO CONNECTTO INSURE
7G THE %EWFR MAIN
COVER **********
*********
*********
**.r;;************************** THANK YOu *********************************