1992, 07-28 Permit: 92004220 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, / have read and understand the INSPECTION REQUIREMENTS/NOTICEprovisions 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= 92004220
ISSUED PERMIT DATE= 07/28/92
*************************** PERMIT INFORMATION ****************************
SITE STREET= 19i0 % MARCUS CT
ADDRE%%= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - VERACRE%T (92%-592)
*** SEE NOTE ***
PLAT4= 003136 PLAT NAME= VERA OFE%T
BLOCK= i LOT= 7 ZONE= UR -3.5
AREA= F/A= F WIDTH=
OF BLDG%= i 0 DWELLINGS= i WATER DIET
PARCELO= 45261.1907
OWNER= PRC,TOM%
STREET= 1910 % MARCUS CT
An, SE= SPOKANE WA 99206
CONTACT NAME= ALWAYS.
BUILDIN- _NOME= FRO7
IVE - RON %LOA
N/A LEFT= N/A
PHONE -
"T4=
PTH=
PHONE NUMBER= 509 922 8500
RIGHT= N/A �EAR= N/A
**************************** %EWER PERMIT *****************************
CONTRACTOR= ALWAY% ACTIVE
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PROCL%%ING FEE
SEWER CONNECTIGN
QUANTITY
PHONE= 509 922 8500
FEE AMOUNT
10.00
40,00 4O.0O
****************************** PAYMENT SUMMARY ****************************
PRG
P
PAYMENT DATE
O7/28/92
TOTAL DUE=
PERMIT TYPE
--------------- SEWER PERMIT
PERMIT
RECEIPTO PAYMENT AMOUNT
R4220 50.00
------------
.00 TOTAL PAID= 50.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------
50.00 50.00 50.00 .00
----------- ------------
50,00 50.00 5O.00 .00
ED BY1 DOMITROVICHN
BY: DOMITROVICH, ROBIN
%EWER STUB A% -BUILT INFORMATION AVAILABLE
UTILITIEJ DEPARTMENT (456-3604)
CONTRACTOROF
APPLICANT__I%TOFIELD
11Uw AND POSITION F �LWEK STUB
EXCAVATION
TO LOCATE BURIED CA
CALL BEFORE YOU DI:,
THAT THEY ARE
********* CALL
*******
AT THE COUNTY
AND CONFIRM THE
TO ANY OTHER
GA% PIPING, WATER LINE%, ECT.
9000)
TO CONNECTION TO INSURE
TO THE %EWER MAIN
TO COVER **********
**********
**********
****************************** THANK YGU ********************************