1992, 07-28 Permit: 92002581 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/certify that/have examined this pmm/vanpnoouon.state that the information contained muand submitted uvmoonnvagent ocompile oam .vu n m/ istrue correct, and authorize Spokane Countym proceed with processing. Inaddition, 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= 92002581 ISSUED PERMIT DATE= 07/28/92 PAGE= 0'1
**************************** PERMIT INFORMATION ********* *****************
SITE STREET= 2524 % UNIVERSITY RD PARCEL0= 45294 .03i2
ADDRESS= SPOKANE WA 99206
PERMIT USE:: %EWER CONNECTION - NORTH KOKOMO (92%-343)
*** SEE NOTE ***
PLATO= 000382 PLAT NAME= CHESTER HILLS ADD.
BLOCK= NE= UR-35 DI%T = E
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 60
41, DWELLINGS= i WATER DIST =
_OWNER= NELSON, THEODOR PHONE=
TREET= 2524 % UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= THEODORE NELSON PHONE NUMBER=
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ********* ******** ****** **
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATF RECEIPTO PAYMENT AMOUNT
07/28/92 R2581 50.00
TOTAL DUE-DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50 .00 .00
------------- ------------
50,00 50,00
5O.00 . 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT is TG FIELn LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8O0O)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*********************** ***** * THANK YOU **** ****************************