1992, 03-10 Permit: 92000424 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 ISSUED PERMIT
DATE= 03/10/92
PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11404 E SUNDOWN DR
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -
*** SEE NOTE ***
PLATO=
BLOCK=
AREA=
OF BLDG%=
OWNER=
STREET=
ADDRESS=
003423 PLAT NAME=
i LOT=
F/A=
4 DWELLINGS=
OWNER
11404 E SUNDOWN DR
SPOKANE WA 99206
PARCEL4= 33543-i522
DRY LINE ONLY (92%-36)
CONTACT NAME= BOB LONG EXCAVATION
BUILDING SETBACKS: FRONT= N/A LEFT=
FOREST MEADOW 2ND ADD
22 ZONE= UR -3.5 DISTO=
F WIDTH= 81 DEPTH= i05
i WATER DIST = CHESTER
PHONE=
R/W=
6O
PHONE NUMBER= 509 924 4782
N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT
CONTRACTOR= ROBERT A LONG
STREET= 9415 % SANDS RD
ADDRESS= VALLEYFORD WA 99036
ITEM DESCRIPTION
PROCESSING FEE
FEE
SEWER CONNECTION
*******************************
PAYMENT DATE
O3/iO/92
TOTAL DUE=
PERMIT TYPE
SEWER PERMIT
PERMIT
PROCESSED
PRINTED
PAYMENT
******************************
PHONE= 509 924 4782
QUANTITY FEE AMOUNT
-------- ----------
Y
10,00
i 4O.00
SUMMARY
****************************
RECEIPT4
1592
.00 TOTAL PAID=
FEE AMOUNT
-----------
5O.00
-----------
50,00
AMOUNT PAID
50,00
50,00 -----------
50.0O
BY: DOMITROVICH, ROBIN
BY: DOMITROVICH, ROBIN
SEWER STUB A% -BUILT INFORMATION
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE
ELEVATION AND POSITION OF SEWER STUB PRIOR
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR
_�'- -..-.. ..- ~-." ^""
|*�| �n�{ ARE CLEAR
********* CALL FOR INS
********* 24 HOUR , IR
********* 456-3604
PAYMENT AMOUNT
50.00
50,00
AMOUNT
AMOUNT OWING
------------
.00
------------
.00
IS AVAILABLE AT THE COUNTY
AND CONFIRM THE
TO ANY OTHER
LINES, ECT.
TO CONN_(
TO THE
TO COVER
TION TO INSURE
EWER MAIN
**********
**********
**********
******************************** THANK YOU *********************************