1992, 02-06 Permit App: 92000654 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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= 92000654
APr't.. is OO1 I ON DATE 02/06/92 PAGE=
Vii-**i•••iE THIE IE i. 1...i A PERMIT *#**#*
PENALTIES WII...I.., I:tF: ASEESSED FOR COMMENCING WORK W.T.TH UT A PERMIT
SITE STREET= 1905 S NAMER RI) F'ARCE::L.:S:=:: 27541-1348
r'7DDREES= SPOKANE WA 99216
PF:RM1:•r (.USE= SEWER CONNECTION -- WOLr(:::f E:: 'T (92E-••72)
**at SEE NOTE -a';*
PLATO= 002717 PLAT NAME= VALLEY HEIGHTS ADD
BLOCK= LOT:_ZONE= r(RI DIS(
O_
AREA= F /A:=: F WIDTH:::: DEPTH=
OF fL..DGE= i DWELLINGS= 1 WATER DIST -.
OWNER= HANSE.N, LYL.E
STREET= 190 I"TAMER RD
ADDRESS= SPOKANE WA 99216
PHONE=
i..
CONTACT NAME= 11 ,`i CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT: Nita REAR= Nina
* it * Ayriu*.*j;auriRpRAuh)ff*hX: .LW [FPERMIT r� I T }.yjttnpjt�KPPR1PPPf7iPPTiF
k jih
CONTRACTOR= i -i ,< E CONSTRUCTION
:STREET= 11817 I::: 'vAI...1...E::'Y'WA'r AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESEI NC; F•E.':F:
Q(.ir=iNT:I:i.Y.
PHONE= 509 926 8964
FEE AMOUNT
1) 00
SEWER CONNECTION 1 40,00
PERMIT TYF't=: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT T 50 , 0i. .00 50.00
1_ 90.00 .00 50.00
PROCESSED BY: DOMITROE ICH . ROBIN
PRINTED BY: I)CiMITF•°O'vICH ROBIN
SEWER STL.IB AS—BUILT INFORMATION ]:S AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR AF'F'I...I.CANT IS 1O FIELD LOCATE AND CONFIRM THE
ELEVATION .i:ON ANI:' POSITION OF SEWER STUB PRIOR T(.1 ANY OTHER
EXCAVATION
TO LOCATE: BUF:1:E:D CABLES, GAS F'1:F'ITNG, WATER LINES, ECT.
CALL BEFORE. YOU DIG (456-8000)
SEWER STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION TO I'NEURF
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
****u..k•h* CAI...I._ FOR INSPECTION F'RIOF. TO COVER **ai• •a atai•;i••i •a:
arms-**ai*yi* 24 HOUR NOTICE REQUIRED *•ii•• •R•* :-;t; ai•a;
*****K*** 496-3604 .h:.k..ri..k..p:..* * •k• •Pi *
******ii?i-****if•*beiisc*iiji#)iii****.ji.* THANK YOU ****a;•****•N:•ii•****#**- **1t*> )r3 3;••ii.•.:t:•. •if•ii