1992, 10-16 Permit: 92008871 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
]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, 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= 92008 871 ISSUED PERMIT DATE= i006/92 PAGE:== 01
PERMIT INFORMATION
SITE STREET= 1 105 E:: MAi_t.ON AVE:.
ADDRESS== SPOKANE WA 9906
PERMIT USE= SEWER CONNECTION -•• DCA (92S-•i05i )
#* SEE NOTE **#
PLATO=
00091 PLAT NAME=
GUTHRIE'E tiAi..LE:Y
VIEW 04TH ADD
BLOCK=
i LOT=
i ZONE= SF%
DIST O== i=
AREA=
00000000 F/A=
F WIDTH= 90
DEPTH= 140 R/W-- 50
0 OF BLDGS==
2 4 DWELLINGE=
i WATER DISI"
=
OWNER=
BLIRKE:, ,.JIM
PHONE=
509 922 8711
STREET=
13105 E MAI._1._ON AVE
ADDRESS=
SPOKANE WA 9906
CONTACT NAME=
ALWAYS ACTIVE.
PHONE::
NUMBER= 509 922 8500
BUILDING SETBACKS:
FRONT= NIA LEFT=
N/A RIGHT:: N/A
REAR= N/A
x �i��t ai3i ii
# xit�rx x x# SEWER
PERMIT
CONTRACTOR==
ALWAYS ACTIVE
PHONE=
509 922 8500
STREET===
PO C:{C?X 141562
ADDRESS=
SPOKANE WA 9904
ITEM
DESCRIPTION
QUANTITY
FEE AMOUNT
PROCESSING
FEE
Y
io.,00
SEWER
CONNECTION
1
40.00
PAYMENT SUMMARY a�a�����������►���a�����x����x��
PAYMENT DATE RECEIPTO PAYMENT Ai'OUSET
1006/92 9114 50�00
TOTAL DUE== 00 TOTAL_ PAID= '50. 0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
._ __ _..._ ._ _..._ __ --------------
50.00 5 (} ., 0 0 ., 0 4!
PROCESSED BY: DOMITROVICH., ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE C:Clt.1NTY
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 E+!.REED CABLES, GAS PIPING, WATER LINES, ECT4
CALL BEFORE YOU D.T.G (4'_• 6--#•000 )
SEWER ETUDE ARE TO BE:: CHECKED E D PRIOR TO CONNECTION O INSURE::
THAT THEY ARE CLEAR Alii", UNOBSTRUCTED TO THE SEWER MAIN
CALL FOR INSPECTION PRIOR TO COVER
�+ 24 HOUR NOTICE REQUIRED
456-3604
THINK T O t. i