1992, 04-13 Permit: 92001538 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 perm it/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, 1 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 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, 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= 92 0104538
3(**3E*3r3F3i
ISSUED PERMIT DATE= 04/13/
PERMIT INFORMATION
PAGE= 01
*3E3r3**3r 3i'3*****3i'3*3*3i'3**3i 3*3*3r3**3****
SITE STREET= 315 S MCDONAI...D RD PARCEL.= 22541-9034
ADDRESS:-: SPOKANE: WA 99214
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE. (92S--2023
*** SEE NOTE 3i**
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI
AREA= 00000000 FiA= F WIDTH==
OF LiL.. DGS'= i 4 DWELLINGS= i WATER D]:,'.T
OWNER= WIDENER. EDWIN
STREET== 315 S MCDONALI) RD
ADDRESS= SPOKANE WA 992.16
CONTACT NAME= ALWAYS ACTIVE. -- RON SLOAN
BUILDING SETBACKS: FRONT= N/A LEFT= N/A
3f*..**a*at**a****'* ************* SEWER PERMIT
CONTRACTOR= ALWAYS ACTIVE
STREET== PO IBX 141562
ADDRESS- SPOKANE WA 99214
ITEM DESCRIPTION
------------------
PROCESSING IEEE
SEWER CONNECTION
3E*3i' 3E'Y:'k 34*
PHONE==
DISH=
DEPTH== f•;/W=
PHONE NUMBER= 509 922 8500
RIGHT== N/A REAR= N/A
***3F3r*3r
*3f*3i'3f#3F3i'***3* 'h."AA1l**
PHONE== 509 922 8500
QUANTITY FEE:: AMOUNT
Y'
----------
10.00
i 40.00
3i•****3t';e.k.3ta..y;.k..h..>i..* PAYMENT ( .. ..
,t I_l i'11`IHY{� 'P: 3e 3t'3131"N''It'34"h'3l"H!t'3'.'3r'iiii'3t'R'3ib:'*v: 3i"P:
PAYMENT DATE: RECEIPT'O PAYMENT AMOUNT
04/13/92 2634 50.00
TOTAL DUE= .00 TOTAL PAID= 50,00
PERMIT TYPE.. FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
--- —5555--5555--
---5555----5555-- ----------
50.00 50,00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION 1:S AVAILABLE AT THE COUNTY
UTILIT.IE_.S DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND 1='OSITION 01'= SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABI._ES, GAS PIPING, WATER L..INES, ECT.
CP+i._L.. BEFORE YOU DIG (4.':,6--8000?
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAI THEY All--. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
3iku'3i'***** CALL_ FOR _'NSP E::[:T]:ON PRIOR TO COVE F!; a:3i'3•:'3i'3i'3•:.x..tt.3i.ri.
H'3ti**h:**** 24 HOUR NOTICE REQUIRED s'3e3e****if#'#
.3t..x..h. p..a *.k A.3t. 456-3404 .x.y; 3i..h..3f..h.**.u.*
3*3r3('3*3e 3i 3h 3r******3t3i*'#3F3i3i3i3e3ix*3e3*3**3i* THANK YOU 3rh: E E3
3*.)j 3* i( *
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