1992, 07-28 Permit: 92004217 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 Conty to proceed with processing. In additionI have reaand understand the INSPECTION REQUIREMENTS/NOTICE
herein or not.I understand that the issuance of this permit/apon and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give m n 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= 920042i7 I%%UED PERMIT DATE= 07/28/92 PAGE= Oi
*********************** *** PERMIT INFORMATION ****************************
SITE STREET= 13208 E 4TH AVE PARCELO= 4522i .9054
ADDRESS= SPOKANE WA 992i6
PERMIT U%E= SEWER CONNECTION - %OUTH BLAKE (92%-590)
*** SEE NOTE ***
PLAT4= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
OF BLD %= i 0 DWELLINGS= i WATER DIST =
OWNER= WOLFF , ALVIN J PHONE=
STREET= 90i6 E INDIANA AVE iOO
ADDRESS= SPOKANE WA 99202
CONTACT NAME= ALWAY% ACTIVE - RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
************************** ** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y i0.00
SEWER CONNECTION 40.00
******************************* PAYMENT %UMMARy **************************** I
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/28/92 R4217 50 . 00
------------ �
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50,00 50,00 5O.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 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 RE TO BE H TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECT ON PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************