1992, 02-28 Permit: 92000883 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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SIGNATURE OF APPLICATION
OWNER OnAGENT DATE
PROJECT NUMBER= 92000883 ISSUED PERMIT DATE= 02/28/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13215 E 4TH AVE PARCEL4= 22541 -9107
ADDRE%%= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — SOUTH BLAKE (92%-103)
*** SEE NOTE ***
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/w=
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OWNER= JAAP D E PHONE= 509 924 8878
STREET= 13215 E 4TH AVE
ADDRE%E= SPOKANE WA 99216
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 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10, 00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ************************* *
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
02/28/92 1312 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 5O.00 .00
------------- ------------
50,00 50,00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION I% 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, GAJ PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG (45 -8OOO) ' ' ^
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 ** ******************************
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