1992, 01-24 Permit App: 92000424 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, 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= 92000424
APPLICATION DATE= 01/24/92 PAGE:::: 01
***•** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREETt=. 11404 E: SUNDOWN DR PARCEL= ;33 a 3 i 5
ADDRESS= )=:: a3POKAINE WA 99206
PERMIT USE= SE::WE::R CONNECTION •••• DRY I...INE ONLY (92E-••36)
*** SEE NOTE ***
PLATO= 003423 PLAT NAME:=. FOREST MEADOW 2ND ADD
BLOCK= i LOT= ''n? ZONE= UR -3.5 DISTO= E
AREA= F / A=:: F WIDTH= 31 DEPTH= 105 R / iii --
OF BLDGS= i : DWELLINGS= i WATER DIST = CHESTER
OWNE.:R. OWNER
STREET= 11404 E SUNDOWN DR
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME== BOB LONG EXCAVATION PHONE NUMBER= 509 924 4782
BUILDING SETBACKS: FRONT= N/A LEFT= rLA RIGHT= N/A REAR= N/A
*u*hm•*pm•u•>ti*x******R* •***p:*•*• SEWER PERMIT 9l1{.a..M3hN7!•***•}l •*7{7t**•P•*•M•**'!kM*•)l*•*k•
CONTRACTOR= OR= ROBER ! A LONG
STREET= 9415 SANDS RD
ADDRESS= VAt_1...E`r'FORD WA 99036
ITEM DESCRIPTION
PHONE= 5 09 924 4;L i2
QUANTITY FT:E: AMOUNT
PROCESSING FEE Y 10..00
SEWER CONNECTION 1 40.00
PERMIT TYPE: FEE: AMOUNT AMOUNT PAID AMOUNT OWING
---
SEWER PERMIT 50,00 ..00 50.,00
50.00 .00 50,00
PROCESSED BY: DOMITRC)V ICH , ROBIN
PRINTED EiY : DOMITRC)VIC1-1, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVA:I:t..ABI...E AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) CONFIRM THE
ELEVATION AND POSITION OF .SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED C::AEtI...ES, GAS PIPING, WATER LINES, ECT.:
CALF... BEFORE ORE YOU DIG (456-8000)
SEWER "Ti.iI:. ARE:: TO BE CHECKED E:.I' PI"'1C.:iR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
•r: * 'u a •ii is •'a: '•r.• •n• CALL INSPECTION PRIOR
T'IC)R T O COVER •}i •) * 1. •}t •}{• *.p. *
24 HOUR NOTICE I•iI=QitIRi::.I:} k• * * it• * k• * ii• # :a
tk {..R. * Pi lU k. 3: * 456-3604 iiiwAnR
E*l
M !H)3?it i 9Ri!99i9f9iii9)HNPi 9 i 3 * THANK YOU *Pbli*& jh i!k JiA1ri iNii*k ) 9 t k 3
!JM 94