1992, 04-17 Permit App: 92002603 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that have examined this vam.ox»pocmm",state that the information contained /oand submitted v'moomvagent " compile said permit/application ,true
and correct, and authorize Spokane County to proceed wilh processing. In additI have the
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 speed ied
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= 92002603
APPLICATION DATE= 04/17/92 PACE= 01
-Ann* THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 715 % MAMER RD PARCEL4= 22541-1442
ADDRESS= SPOKANE WA 99216
PERMIT USE= ;ZEWER CONNEC7ION - W8LFCRE%T (92%-361)
*** SEE NOTE ***
PLAT�= V81672 PLAT NAME= MODRE/S ADD.
R ` . LOT= 3 ZONE= SFR DISH=
AREA= F/A= F WIDTH= DEPTH=
OF BLD[%= i DWELLINGS= 1 WATER DIST =
R/W=
OWNER= HAVG[R, MARTIN PHONE=
STREET= 715 J MAMER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H 6 % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMI7 ******«***********************
CONTRACTOR- H S CONSTRUCTION
STREET= 1i817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99286
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY FE[ AMOUNT
PROCESSING FEE Y 18'60
SEWER CONNECTION i 40.88
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 58^8O .00 58.00
50^86 .80 58^88
PR0CEJ%ED BY: DDMlTRO;ICH, ROBIN
PRINTED BY: VOMITROVICH, ROBIN
SEWER STUB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (436-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EYCAVATION
TO LOCATE BURIED CABLES, GAS PIPING' WATER LINES, ECT`
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO jr CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COYER *******«**
********* 24 HOUR NOTICE REQUIRED **********
x*»x*xx** 456-3604 **********
******************************** THANK YOU *********************************