1992, 05-15 Permit: 92002787 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 reab 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92002787
ISSUED PERMIT DATE= 05/15/92 PAGE= 01
*******#fedeie#•)ea4#3ei ***)e)e*****)i• PERMIT INFORMATION iiieie§ileieieie#ie#irie)e#iedejeiedrie)ede#ii)iie)e
SITE STREET= 11016 E VALLEYWAY AVE PARCEL.:":=: 16543--0459
ADDRESS= ,SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- DRY LINE (92S--386)
*** SEE NOTE ieie)e
PLATO=:: 001852 PLAT NAME= OPPORTUNITY(TR.1--i421NC.143--35
BLOCK= LOT== LONE= UR --3.5 DISTO==
AREA= 00010290 F/A= F WIDTH= DEPTH= R/W=:
OF BI...D(:.,5=: 1 :v DWELLINGS= 1 WATER DIST :::: MODERN
:rt
OWNER== KLEIN, JERRY I) PHONE= 509 922 7400
STREET= 721 N PINES RD
ADDRESS= SPOKANE:: WA 99206
CONTACT NAME== ALWAYS ACTIVE -- RON SLOAN PHONE: NUMBER== 509 922 8500
BUILDING ,SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A (REAR= N/A
}t.h..)(***H•li•#***** 3Fie*Xif3e;fie#ft*** * SEWER PERMIT dili—*313(iiiilt..h..1i..h..1F.Ii•.h•.1i..li•.H•.li#i{.i4iii4***94.11i(
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX 141562.
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
e34iiif•****•3i*i4*,(•iFi{.****i[dfftftif•5tii•*I *** PAYMENT
PHONE== 509 922 8500
QUANTITY FEE AMOUNT
Y 10.00
40.'00
SUMMARY x#It*u,ctc*x**uxIcic*aettxIctiarlixuselrat
PAYMENT DATE RECEIPT. PAYMENT AMOUNT
05/15/92 3635 50.00
TOTAL DUE= .00 TOTAL PAID= .50.00
PERMIT TYPE: FEE AMOUNT AMOUNT F'AIE) AMOUNT OWING;
SEWER PERMIT 50.00 50,00 .00
50.00 50.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE: AND CONFIRM THE:
ELEVATION AND POSITION OE SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATES BURIED CABLES, GAS PIPING, WATER LINES, ECT
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE. TO BE:. CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE. SEWER MAIN
i@itdi.rt.ii..ri..u..H..H. CALL FOR INSPECTION I:ON PFRIOR TO COVER d&#)H&diie*reiete
a eaeaeaeaeae*aear 24 HOUR NOTICE REQUIRED 3 *****)t)e)tk
.)k....3...k..u..1iif* fe 456--3604 * *)e****de*
ii.fi***§ii.**)e,e***ie*de * ie :e+$*de li**** de* THANK YOL.3 •x 9e * *3 %ae di.44***ir) *) ***di*#de*##8e#4ie4e*