1992, 06-11 Permit App: 92004220 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 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= 92004220 FtPPI...ICAT I:ON I')ATF.::: 06/i i 9'2 i='AGE= 0i
THIS IS NOT A PERMIT
PE:NAL..TIE:'S W.I:I..A.. BE-.* AS 1) FOR C:ClMMEHCING WORK WI.THt:.IIT A PERMIT
SITE STRE:E T-- 1910 E MARCUS CT
ADDRESS-- SPOKANE WA 99206
PARC171...45`261 x 19,0 -1
PERMIT USE-: SEWER CONNECTION -.. VE RAC::RE::ST (9"E --'i92)
SEE NOT�
F'I...AT O= 003136 F'I...AT NAME.: VERA CRI: ST
BLOCK-- i LOT:= r s_1.3lE== UR --_;3<9 DISTa--
AREA= F/A-:: F• WIDTH- DEPTH
OF BL..DGS:- i DWELLINGS= i WATER DIST :=
OWNER-- 1"ARTCH, THOMAS
STREET= 1910 S MARCUS CT
ADDRESS-:: SPOKANE WA 99206
F' F'1 O N E. =:
F
CONTACT NAME=: ALWAYE ACTT I V E: RON SI...OAN PHONE NUMBER-: 5()9 9::.'.s.'. 850-K)
BUILDING SETBACKS: FRONT= N/A LEFT= NIA RICHT N/A REAR:-: N/o
SEWER PERMIT
CONTRACTOR= Al. -WAYS ACTIVE PHONE- 509 922 8500
STREE-T-:: PO B 0 X 14 1 562
ADDRESS-- SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FF:'E:: AMOUNT
PROCESSING FEE" Y i o..00
SEWER CONNECTION 1 40.00
PERMIT TYPE
SEWER PERMIT
FEE AMOUNT
50 00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
AMOUNT PAID
00
AMOUNT OWING
50 00
c>0,e)0
SEWER STUB AS_..E+UI!_T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM TETE:.
ELEVATION AND POSITION! OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATIO!
TO LOCATE: BURIED CABLES, CAS PIPING, WATER L -INF -.*S, ECT.
CALL BEr"ORE YOU DIG (456-80 00)
)
SEWER STUBS ARE TO BE C::HE:C:KED PR I:CJR T'O C`0NNECT10N TO ]:N"S'URE:
TFiA'T 'THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
CALL FOR INSPECTION! PRIOR TO COVER i(kii�ii�t�*ah
"24 HOUR NOTICE REQUIRED
456---3604
THANK YOU