1992, 08-18 Permit: 92006524 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
PROJECT NUMBER= 92006524
ISSUED PERMIT DATE= 08/18/92 PAGE= Oi
**•>fir**•********************•** PERMIT INFORMATION ****************************
SITE STREET= 404 S FLORA RD
ADDRESS= GREENACRES WA 99016
PERMIT USE= SEWER CONNECTION -•• DRY LINE (92S-••816)
*** SEE NOTE ***
PARCEL•4.•= 45241.90288
F`LAT;:= 999999 PLAT NAME= RANGE
BLOCK= LOT= -LONE= UR 3.5 DISTO= G
AREA= F/A= F WI.I)TH= 138 DEPTH= 148 R. /W=: 50
w OF BLDGS= 4 DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG 01
OWNER= MALLICOAT, JOHN PHONE= 509 535 2918
STREET= 1822 E PACIFIC AVE
ADDRESS=: SPOKANE WA 99202
CONTACT NAME= JOHN MALICOAT PHONE NUMBER= 509 922 8352
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= OWNER
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE=
QUANTITY FEE: AMOUNT
10.00
1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
08/18/92 6652 50.00
TOTAL DUE=• .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00
50.00 .00
50.00 50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS-••BUIL..T INFORMATION IS 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 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 **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SEWER/PLUMBING PERMIT APPLICATION FORM 92-- 4)5 2'(
INFORMATION WORKSHEET c �1, c 5 5
`�'I
JOB STREET ADDRESS: Com" F/4 6 /° C/ oo ? ( 3
CITY/STATE/ZIP: 0 J -eNce C A4)_5' PARCEL NUMBER:
OWNER: Lc._d L/ life, ONE NUMBER: 9' Z/ 0. 4/97
MAILING AD SS: s wl
(St eet) (City/state) (Zip)
CONTRACTOR: Ll�e S tom' 4 C".i2LICENSE NUMBER: CatST WC I73SS
M PHONE NUER: 50c1 ' 67--14 4 %70
MAILING ADDRESS: fen BD-7c&`Cr ? Z� S " k -64-0,3e co a- q 2-Q3
(Street) (City/state) (Zip)
DESCRIPTION
SEWER CONNECTION
PLUMBING ALTERATIONS
SIGNATUR.
X EACH
UNIT
=AMOUNT
X 50.00 =
X 35.00 =
SUBTOTAL
$
EQUALS: TOTAL
PEMIT FEE DUE
_$
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675