1992, 04-23 Permit App: 92002781 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. 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
F:.R ):.JFC'T NUMBER= 92002781 APPL..ICA!'ION
DATE= 04/23/92
PAGE= 01
****** THIS IS NOT ti PERMIT **ii• •)6
PENALTIES NAL..TIi:::S WIi...i... BE ASSESSED E OFt COMMENCING Ni L'f1FRi•. WITHOUT ' r: PERMIT
SITE STREET= 0•12 S :€JRN• CT
ADDRESS= 'r fl(tDAL_E WA 99037
PERMIT USE= SEWER CONNECTION ••-
**•'r,'• SEE NOTE * •
PLATO=
BLOCK=
AREA=
0 OF Xt i._ D G S
OWNER=
STREET. -
ADDRESS=
003136 :16 P I...AT NAME::
':.'.
LOT=
: DWEL..i...Ii!GS=
CAMYN, JE
2012 S BURNS CT
VE::EGAuAL..I::. WA 99037
, n , •• - r. _.. 26541-2009
;,'ERF;C;F E•: S i (92,3-382)
VERA CREST
. ZONE= f$ is I I
F WIDTH::
10 WATER DIST
PHONE=
=
„I.T:„:::::
DE::PTF4.. R;`iA =
CONTACT NAME= i i ti '; CONSTRUCTION PHONE NUMBER:::: 509 926 8964
BUILDING SETBACKS: : E"F;ONT N/A LEFT= N/A RIGHT= ,•'AN REAR= N/A
* )t )l * * .* :n. * * * * .y;. * * * •y{.:/!: )t * N: * •R• * N.• * *){• )k r• SEWER PERMIT • * it * * •A• * )h )t• : • •]k • • ){. •A: •A: * 3* * * N: 'P:){. * i,:.P..... 'N:
CONTRACTOR= H & s CONSTRUCTION
STREET= 1 11817 is:: ALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FE E
SEWER CONNECTION
t
PERMIT TYPE
SEWER PERMIT
PROCESSED
PRINTED
FEE AMOUNT
'.:>0..00
50.00
509 926 8964
QUANTITY E.. E E AMOUNT
1,.00
140.00
AMOUNT PAID AMOUNT OW:i:NC;
.00 50.00
.00 50.00
BY: DOM.T.Tr (vIisH, ROBIN
BY: I)OMI T ROVICH = ROBIN
SEWER STUB AS--FtiJIi...T INFORMATION IS AVAILABLE A_i 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 i...INEs, is:::'i'
CALL BEFORE YOU D I i (456-8000)
41EWE::E? ':TUBS ARE:: TO BE: CHECKED PRIOR TO CONNECTION TO INSURE::
THAT T THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
**•u•***** CALL_ FOR INSPECTION PRIOR TO COVER E::E' •xx • ••;'::p..h.:,{• :
*****u•#ri* 24 HOUR. NOTICE REQUIRED **{..i{.){• •#***
_.
***i{•*#**** )r****•ii •#* •* •* ){ •* k•** ** THANK •
! ?.1 ... k? v k} ){• )r * )t )r * u )r * •'tr )E• * * is• * )r )>: at• •X• * ?i• •ir i{ }{•){• ){• )r ){• aE *