1992, 11-30 Permit: 92010462 Sewer - ,
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
, (50q)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 additionI 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= 92010462 ISSUED PERMIT DATE- 1 /30/92 PAr;,E''' 01
**************************** PERMIT INFGRMATION ****************************
SITE STREET= 10722 E 4TH AVE PARCEL4= 452'! 2 . 1214
ADDRESS- SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - OLD GRCHARD (92%-ii83 )
*** SEE NOTE ***
PATO= 001839 PLAT NAME= OPP TR 1 -354
�
GLOCK= 2 LOT= ZONE= UR-.3,5 DI%T =
AREA= OOOOOOOO F/A= A WIDTH= DEPTH=
4 OF BiDG%= i 4 DWELLINGS= 1 WATER DI%T =
OWNER= %TUERT ALEX PHONE= 509 928 743
�
STREET= 10722 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= ?26 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*** ************************* SEWER PERMIT ******************************
CONTRACTOR= H & % CON%TRUCTION PHONE= 509 926 G964
%TREET= ii8i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE %INI, FEE Y 10 . 00
SEWER CONNECTION i 40^ 00
******************************* PAYMENT SUMMARY ***************** **»******
PAYMENT DATE RECEIPTAYMENT AMOUNT
11 /30/92 743 50 . 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERM....T PERM��T 50 . 00 50 . 00 . 00
------------- ------------
50 ,00 '50„ 00
50. 00 . 0O
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIEJ DEPARTMENT ( 456-36�4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
iO LOCATE CAPLE%1 GAS PIPING , WATER LINES , ECT .
CALL BEFORE YOU DI .;
STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE CLEAR AND UNGTRUCTED TO THE SEWER MAIN
* ****** CALL FOR INSPECTION PRIOR TO COVER ****** ***
********* 24 HOUR NOTIF REQUIRED **********
********* z56-3604 ***** ****
YOU *********************************