1992, 07-09 Permit: 92005095 SewerSPOKANE RUNTY DEPARTMENT OF BUILDIN
W.1$,�QQ,3� BROADWAY AVENUE
SPOKANE; WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that tCe 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, 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= 92005095
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ISSUED PERMIT DATE=:: 07/09/92 PAGE== 101
PERMIT INFORMATION 3i'3e3e3i3*3f343E3F3(36
**MY 3E ****H 3 3*
SITE STREET== 120 N WILLOW RD PARCEL. 45173.1522
ADDRESS= SPOKANE WA 99206
PERMIT USE=_SEWER CONNECTION A87--1 (925--691 )
3@31# SEE NOTE ##3E
PLATO=
BLOCK=
AREA=::
v OF Bi...DGS==
001 835 PLAT NAME= OPP. TR. 1 -354
LOT= ZONE= UR -7 DI,ST4== E
F/A= 1 WIDTH= DEPTH= R/W=.
v DWELLINGS= i WATER DIST
OWNER=:: ROECK S Zt ROF..CKS PHONE= 509 927 9871
STREET= 120 N WILLOW RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON SLOAN PHONE NUMBER= 509 922 0500
BUILDING SETBACKS: FRONT= NA I...11=T= NA RIGHT= NA REAR= NA
3EX.#3f5k*3i**i4*****3i*3i***34*343f3i*3*3i SEWER PERMIT#..>E*343E3f34h3t.3t.3F3(.iiii•3i3i :Ak)iii3iitttifr)i A3t3f3i',F
CONTRACTOR= ALWAYS ACTIVE PHONE=:: 509 922 8500
STREET= PO BOX 14156.
ADDRESS- SPOKANE WA 99214
ITEM DE::SCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
3a*af•3<•3<•3<if•ieii•*3<•3t•*tt•tt•3s3c3t3c3c3cii3<3t3t3t***** PAYMENT SUMMARY > ***if fi(3k343i3F3F363ik:***#3f)iii3¢k3e***
PAYMENT DATE RECEI.PTO PAYMENT AMOUNT
07/08/92 5275 50.00
07/09/92 5275 50.00.-
07/09/92 5284 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 400
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIE:L.I) LOCATE AND CONFIRM THE:
ELEVATION AND POSITION OF ,SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER I...INES, ECT.
CALL BEFORE. YOU DIG (456-8000)
SEWER STUBS ARE TO BEi: CHECKED PRIOR TO CONNECTION TO INSURE
Ti -IAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
3eie.x.3i.;<.ai..n..** CALL FOR INSPECTION PRIOR TO COVER 3rr3[3F#)(3t•3(343r•3(
3e3E3e3E***** 24 HOUR NOTICE REQUIRED 3e3E##3E3F3E3i3(3t
3k#343r3(3i3(3(•3(• 456-3604 3i*u3<3..u..x.....3i3e
k##ii is if*k**** ik3E3e***ieif#3e3e3e3e3Ek3E3E*** THANK YOU***3b3P3k****3e3E***3f#KU********
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