1992, 03-10 Permit App: 92001409 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 perm it/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
PROJECT NUMBER= 92001409
APPLICATION DATE.. 03/10/92 PAGE= 01
###### THIS IS NOT A PERMIT ######
PE::NAL-TIEES WILL. BE: ASSE.SSE.I) FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 318 S LEATHA LN PARCEL= 22541-1603
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE (92S--174)
### SEE NOTE ###
PLATO= 001436 PLAT NAME= LEATHA L..ANE ADI)
BLOCK=2 LOT= 3 ZONE= AGSUB DIST.= F"
AREA= 00000000 F/A= F WIDTH= DEPTH=
R/W=
m OF BLDGS= 1 0 DWELLINGS= i WATER DIST =
OWNER= KAISER, WERNER PHONE=
STREET= 318 S LEATHA LN
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
#############ii############### SEWER PERMIT ##############################
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE. AMOUNT
PROCESSING FEE 1' 10.00
SEWER CONNECTION 4 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITRO'VICH, ROBIN
SEWER STUB AS --BUILT 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
E::XCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOLJ DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
#########CAL..L.. FOR INSPECTION PRIOR TO COVER ##########
######### 24 HOUR NOTICE REQUIRED ##########
######### 456-3604 ##########
****3******###################### THANK YOU######*****##################f!##Y