1992, 03-26 Permit: 92001884 Sewer SPOKANE 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• anceltheprovisions ofany s ate or ocal la gulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constriiii
SIGNATURE OF , APPLICATION %� ��
OWNER OR AGENT # r '1.� '�t -, DATE of
PROJECT NUMBER= 92001804 ISSUED PERMIT DATE=: 03/26/92 PAGE= ()i
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1621 S KEL.L..ER RD PARCEL-4= 27541 -1712
ADDRESS= SPOKANE WA 99206
PERMIT USE SEWER CONNECTION / 92-268 / WOLF'CRE:ST
*** SEE NOTE ***
PLAT4= 001841 PLAT NAME= OPPORTUNITY TERRACE
BLOCK= LOT= ZONE= UR 3.5 DIST::-- F
AREA== 00000000 F•/'A=: F WIDTH= DEPTH= R/'W==
OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= CARLSON, MARGARET PHONE= 509 928 0214
STREET= 1621 S KELLER RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= MARGARET CARLSON PHONE NUMBER=::
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR=: NA
***************************** SEWER PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i =10.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RE.CEIPT4 PAYMENT AMOUNT
03/26/92 2073 50..00
------------
TOTAL DUE= .00 TOTAL PAID= 50...00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50..00 50.00 .00
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN L.ARSON
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* C:AL1... FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************