1992, 04-16 Permit App: 92002581 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= 92OO2581 APPLICATION DATE= 04/16/92 PAOF=
****** THIS I% NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PEPMIT
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%ITE %TREET= 2524 % UNIVER�ITY �D
PARCEL:;:,- 29544-0312
ADDRESS- %POKANE WA 99206
PERMIT USE- SEWER CONNECTION - NO17,2TH KOKOMO ( 92%-34 )
***
SEE NOTE ***
PLAT4= 000382 PLAT NAME= CHESTER HILLS ADD .
BLOCK- i LOT= 24 ZONE= UR-3. 5 DIST4=
AREA= 00000000 F/A= F WIDTH=
4 OF BLDG%= i DWELLIi WATER DIET =
OWNEK= NEL%ON, THEODOR PHONE=
%TREET= 2524 % UNIVER%ITY RD
ADDRESS- SPOKANE WA 99206
CONTACT NAME= THEODORE HEL%ON PHONE NuMGER=
BUILDIN., FRONT= N/A LEFT= N/A RI6HT= N/A REAR= N/Fi
***************************** %EWER PERMIT
CONTRACTOR= GWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---- ------
PROCE%%ING FEE Y 10 . 00
%EWER CONNECTION i 40 . 30
PERMIT TYPE FEE AMOUNT AMOUNT PAID AM8UNT OWIwC
--------------- ------------- ------------SE4iER PERMIT PERMIT 50 .00
------------- ------------ ----------- --
5O ... O0 . 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED 3Y : DOMITROVICH , ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THF:. MO11�TY
UTILITIE% DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM TI- 17:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES , ECT .
CALL BEFORE YOU DIG (45"- 0OO)
%EWER %TUB% ARE TO BE CHECKED P7::IGR TO CGNNECTIGN TG IN�CnE
THAT T�EY A�E CLE�R A�D uNGB ; HjCTD TG ; HE %EWE� �AIN
cOR T?:.r-r:PECTI3N PRIFIR Tn CGVER **********
********* 24 HOUR NOTICE REQUIRED **********
***** ** 456-3604 **********
*********************** *** **** THANK YOU *********************************