1992, 04-13 Permit: 92001537 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oo,nfymot/xuv*oxummoum/onmmmuvnooat/on.mutomunhomm,muuvnoontumoumnunoouum/oeuovmoonnvagwntmxvmn000umn rmit/application is true
and correct, and authorize Spokane County to 000u 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= 92001537 ISSUED PERMIT DATE= 04/13/92 PAGE= 61
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13113 E 4TH AVE PARCELO= 22541 -9036
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - SOUTH BLAKE (92%-201 )
*** SEE NOTE ***
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 40
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OWNER= HOFFMAN , RICHARD PHONE=
STREET= i31i3 E 4TH AVE
ADDRESS= SPOKANE WA 992i6
CONTACT NAME= ALWAYS ACTIVE - RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 14i562
ADDRE%%= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---------
PR0CE%%ING FEE Y iO.00
%EWER CONNECTION i 4O.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/13/92 2634 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------
50,00 50,00 5O.00 .00
PROCESSED 3Y : DGMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
�� �
EXCAVATION
TO LOCATE 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
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************