1992, 04-23 Permit: 92002783 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 C;T NtJMBER= 92002 83
APPLICATION DATE:::: 04/23/92 PAGE== 01
**3•xi** THIS IS NOT A PERMIT *****3
PENALTIES WIL..(_. BE:: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 7.08 S PIERCE RID
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION ••- NORTH i<:CII;.0110 (92E-384)
*** SEE NOTE **#
PLAT4= 00 i 3 3 PLAT NAME=:: I<0(<OrMO T CIWN'lS 1: f•E::
BLOCK= ,;?r LOT= •i ZONE= AGSUB DIST:„=
AREA= 00000000 F /A= F WIDTH= DDE I..i:.
w OF .... ' DWELLINGS= 1 WATER D1.ETr
PARCEL -4= 28543-270i
OWNER= iMATH I S , L. J PHONE=
STREET= 2408 S PIERCE RD
ADDRESS== SPOKANE WA 99206
:., :. .
�..: t:i r� TACT NAMF:-: i..i & ,:> CONSTRUCTION PHONE NUMBER= ."::;,;`:;, 926 ,-3;',:;=t
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT:::: N/A REAR= N/A
x• n• •!t ii• * ri * * * * * h: •ii• ii• M * p: •ir n• ri• •ri• * •hi• •k• •a• * •ii• * k• SEWER F'E::FiM1:T•
CONTRACTOR= H & CONSTRUCTION
STREET=:: 11817 E VAL..L.E:.Y'WAY AVE
ADDRESS= SPOKANE WA 99206
5
09 926 8964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE:: Y .10.,0
SEWER CONNECTION 1 40 00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
60 .. 0 0 l: so ,. ,.
.....«. .... .... .... .... C...«.... ....._ .». «.. .....«. .... .... «..««._ C- fir.
50.00 . � 0 50 ., 00
PERMIT TYPE
SEWER PE::F9i1:T
PROC:ESED BY: DOMITRoVICH , ROBIN
PRI tN!ED BY: DOri1:TROD 1:CH, ROBIN
SEWER STUB AS–BUILT INFORMATION 1S AVAILABLE AT THE COUNTY
UTILITIES DEPARTME:NT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE: AND CONFIRM THE
ELEVATION r` ND POSITION OF SEWER S'T'UD PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED ^� CABLES, GAS PIPING, WATER LINES, ECT.,
CALL BEFORE YOU DIC; {456..«8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURETHAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER R l AIN
*•iRk•r:xAx•** CALL.. FOR INSPECTION PRIOImo, -(•O COVER ****•h••x•* aR
K**** *** '4 HOUR NOTICE REQUIRED r�a� •• *arx•��• •;�
e..
•p.• .A. * *.)k .H. •}{• 14 # 456-3604 *****3(• * .A..k •/k
*it•*is}i•**#ii **•ri**ri#***R3t•*iikk•* *iGa • THANK YOU *****3'*****• li•#* ••it•**it*ri**#.•#kit: •-•r.•**ii•