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1992, 10-07 Permit: 92008537 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS W.1���GK������������ 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 u 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,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= 92008537 ISSUED PERMIT DATE= 10/07/92 PAGE= 01 **************************** PERMIT INFORMATION **************************** SITE STREET= 13617 E 4TH AVE PARCEL4= 45221 .9116 ADDRESS= SPOKANE WA 99216 PERMIT USE= SEWER CONNECTION - SOUTH BLAKE (925-1013) *** EEE NOTE *** P = 999999 PLAT NAME= RANGE ' BLOCK= LOT= ZONE= UR 3.5 DIST4= F AREA= F/A= F WIDTH= DEPTH= R/W= 40 4 OF B %= i 4 DWELLINGS= i WATER DIST = OWNER= SCHOLLER, GARY PHONE= 509 926 8365 STREET= 13617 E 4TH AVE ADDRESS= SPOKANE WA 99216 CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964 BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A ***************************** SEWER PERMIT ****************************** CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964 STREET= 11817 E VALLEYWAY AVE ADDRESS= SPOKANE WA 99206 ITEM DESCRIPTION QUANTITY FEE AMOUNT ---- PROCESSING FEE FEE Y 10.00 SEWER CONNECTION i 40.00 ******************************* PAYMENT SUMMARY **************************** PAYMENT DATE RECEIPT4 PAYMENT AMOUNT 10/07/92 8665 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 5O.O0 .00 PROCESSED BY : DOMITROVICH, ROBIN PRINTED BY : DOMITROVICH, ROBIN SEWER STUB A%-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 (450-8000) 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 *********************************