1992, 01-27 Permit App: 92000438 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 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= 92000438 APPL.ICATION. DATE= 01 /27/92 PAGE::: :01
****** THIS I.S NOT A PERMIT **3t•3i•3i-*
PENALTIES WILL. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE , TREET•: 1713 S KELLER RI? PAF CEL:;:=:: 27541 -1710
ADDRESS= SPOKANE. WA 99206
PERMIT USE::m: SEWER CONNECTION .... iWOL.FCF E iT (92S-37)
*** SEE NOTE`. ***
F''L_(lTb:-: 001841 F'i._AT NAME= Oi"'PCIRTIINI''' TERRACE
BLOCK= 3 LOT= 10 ZONE=:: A YSI ID DIS'T:R
AREA= i::/A= WIDTH= DEPTH= R/!=
N: OF BLDGS:::: i .: DWELLINGS= i WATER DIST :•••
OWNER ROSS , DAVID PHONE=
STREET::- 1713 KE.i._i._Ek KD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H • S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT:::: N/A i...EFT=:: N/A RIGHT= N/A REAR= N/A
3[•*•t: k•ii-3i**3{•3{3{•r.-3•:3i.y,....ie 3i••a•3k 3{•3{3.*3{-.x• SEWER ` " I Nk 3tk e*n*xR 3 ***ix R n»
hpRsaN3n3E
CONTRACTOR= H E CONSTRUCTION PHONE== 5091 926 8964
STREET= 11817 E: VF•YL_i._E::Y'!,JAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FE::E AMOUNT
PROCESSINGr' FEE Y i0„00
SEWER CONNECTION 1 40.06
PERMIT TYPE FEE AMOUNT AMOUNT PAID ° "CU " OWING
50,00
SEWER PERMIT 50,00 ,00
50,00 50,00
PROCESSED BY : BUM I TRV I:CH . ROBIN
PRINTED BY : DOi'''tITRC:VICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE Fii4l' 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 DIY (456-8000)
SEWER STUBS ARE TO BE CHECKED I KE::D F'R:i:ClFti TO CONNECTION TO INSURE
i
THAT THEY f°'ARE:. CLEAR ANI' UNOBSTRUCTED TO THE SEWER MAIN
3t•3?•3a 3e•,,e p n:i?• CALL t Cl I c INSPECTION PRIOR TO COVER •it••;i•ri•*;t•3E 3ii a::n•-x-
*ax*3?»*** 2.4 HOUR NOTICE REQUIRED ********3iii•
3k 3r.3i••n h:•3t•fi:'P:3i• 456-3604 .i:•x••k•-v:•n••n:*•a:-i•:-h•
x• -*•r.••r.•i? :****x --**3;•*3ra3i*N:•3?•*****3i•3:•*34 THANK YOU U -a-*••r.-**a:w*3i•*3t-3±3s-3i•***3i•3i•3i•**#3t-#**3!zr**•:'n: