1992, 07-14 Permit: 92005208 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 isions y stat-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 AGEN . .; / DATE
'E':1..l:.;E::.;... E NUMBER= 92005208 ...._i t:'....D PERMIT E'=MI DATE= 07/14/92 PAGE= }r:} .
*.!}.1,..,..$...J};_,}.},:g...}..a.,,..}..f!:!k i!i-1••!!:i!+r 1h)}r•fk-!+i)!.*a,.:!}..j;. t..f•':M r•J 1-i t t.;..,,i: + t t�.t; �..Ni•!!i) i+?•� 17 t+;-•)'i:r i!..!� �;..j(.Vii.!u:!!i•.}..?j..�p�;.j:..jc.j}._,:.
E' ..... ....1. E �. .. .....::tit
SITE SIREET= 13103
»fij: 4TH AVE:' , »•. 45221 . 9035 C .« ..
ADDREEE= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION .... SOUTH 'tE...('tE yt (92E-706)
LOT= ZONE= UNK
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
'i" S ).',...ny t.Y,.: ... •}t' DWELLINGS= WATER DIET ....
OWNER= CLARK , RON PHONE=
STREET= 13103 E 4TH AVE
f•t ElD! F.:. S,= y`• 't.iK AN.E W(:: '.y,.?'::..•1 '�7
CONTACT NAME= GOBERS EXCAVATION PHONE NUMBER= :09 924 5372
BUILDING S1 : - FRONT= f ! A LEFT=. " N:( RIGHT= i , : REAR= t`,° t.:;
i'..!;*'t:•!:'!+:•!t-.++:ij.:!.:,,.;,..ly.,},::,..+..}!..}>...,..,,.:+,...}j.:g:.i,,:,;:t..,,..},::},. SEWER ':R t' ,..(..,..1,.}}.:j.ry,, j..l:.i::*i::S!:1,:'t'*'!+::+1:i!::t`; K r:;X11;:Lt
CONTRACTOR= •..Bi::.R+s FUEL & OIL 1'`Ht_tE"•%:;•::.. .....t•i•;•. 924 5372
15 E
ADDRESS= j-.t' i,,i 4 fAY N 1::. :,{A't 99206
ITEM DESCRIPTION ia!l.:( f'; E E ' FEE E: t"i%'E i„i i,.i NI
PROCESSING FEE
10 .00
SEWER CONNECTION 40.00
:y.:j.:,i.:,:* i}::;j.:,j.:j.:'.** j.:,:'y.:}f.: :,i.::* j.:j.:y: : :.:}:.. S.. ='Y .jj......1.:.....(.: :,:.i}.:.. ..... :,:.
,••.:...:..:........... ...•:• :• .... ...+...l.r.....).>t:r.:.l.t?'u:l.l.h:N:N:i{a�ii•J.H-u::.
PAYMENT '+j..} iE E'.:::.i E....1.t.: E ;N; PAYMENT AMOUNT
07/14/92 5399 ,«
TOTAL DUi::.:::: .00 TOTAL 1''A1,t,J= 50.00
PERMIT TYPE 1..E::.E::. AMUUNI AMOUNT %; AMOUNT O ii a.N"t T
SEWER PERMIT 50.00 50. 00 . 00
50.00 50,00 ,00
=t:=i (.•E::.,/ i•) BY : i}i.-}M ;..ii`, .t. H OB
PRINTED ':ici;.:T :RC:I\ ,.:.,i2 ' ROBIN
SEWER : }_ AE—BUILT INFORMATION
Iv.
{ 4'tE3 .:.,.. AVAILABLE AT THE 1::. '..:+..?i.i%i iT
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR i ; APPLICANT
:: % Ir ,NT Es O FIELD Ei ;( E AND
CONFIRM H.
ELEVATION . POSITION
i
: IE . " iESEWER STUB PRIOR .tANYY OTHER
EXCAVATION
TO LOCATE d.+U R,i.`::..i± tj,,.t.•t t;I..•E S , GAS E-' .E.E .E.N t.Y : WATER E i N Y.i ECT.
CALF... BEFORE t::. YOU DIG (456-8000)
SEWER STUBS
STUB .RETO
BE CHECKED PRIOR E , CONNECTION
{ Ntt T . a EO INSURE
THAT THEY t AR!'... CLEAR AND i.�i•'=t•..)J: ,.r , E,t.,C t i:.�% •`.i•' THE,... ::.Wi::R MAIN*!!:*3!;*•*.y;** t I::'i'i•,' N•; .:1..,. E , t'tisJ PRIOR TO...COVERSEWER
**•*a:.}t•**
} a*S1 ) t MA : 4HOUR
?i " N4 ± :% REQUIRED f : ;xiij *i .
iNPnA3HRA
456-3604 ':•i+:***•*7+i*'!+.'*
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