1992, 05-04 Permit: 92002669 SewerSPOKANE 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 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= 92002669
ISSUEEI) PERMIT DATE:- 05%04/92 PAGE_- 01
3e1e** &3e#)e3e*3e3e*3e***3e* e9e**** *3E PERMIT INFORMATION * ***•)e**)H*#3e ie3 **)r)e3E*'n:##*3e*)k**
SITE: STREET= 5419 E 5TH AVE: PARCEL,= 23531-1226
ADDRESS=:: ;SPOKANE WA 99212
PERMIT USE= SEWER CONNECTION — CONNECTION AGREEMENT (92S--369)
*** SEE. NOTE )v3E3e
PLATO= 000325 PLAT NAME= CAROLINE ADD.
BLOCK== 2 LOT== 4 ZONE== AGSUB DIS'TO= E::
AREA= 00000000 F/A= F WIDTH= DEPTH::= R; W=
OF BLDGS= 4 4 DWELLINGS= i WATER DIST =
OWNER= VECHORIC, HAZEL.. PHONE=
STREET= 5119 E 5TH AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= ABLE EXCAVATING PHONE NUMBER= 509 325 3645
BUILDING SETBACKS: FRONT::: N/A LEFT= N/A RIGHT: N/A REAR= N/A
3e3i*3E)i•)e****3i..Xfl-)t })e3e3E%********* SEWER PERNIT**3e******x•******u***nx*3e3e*****
CONTRACTOR=. ABLE EXCAVATING
STREET= 2304 W BRUCE AVE
ADDRESS= SPOKANE WA 99208
PHONE- 509 325 3645
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE: Y 10400
SEWER CONNECTION i 40.00
E**)E3i•3e 3e 3e)i'3i******.) )e M•3i3Ere)i#rig*#3t•** PAYMENT SUMMARY 34)e313i ie ie 3E*kri3e3e3i**)i..le.ii•3E3a3t. 3e*)i. 3e ***
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
05/04/92 3264 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 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE Al 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, E:CT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED i (1 TI"IE. SEWER MAIN
*)E*3e3e3E g)E* CALL FOR INSPECTION PRIOR -CO COVER .x..;i. R.)i#)43e** 3i
*#3e3e3e**** 24 HOUR NOTICE REQUIRED 3E)e***3 ***
)E3i3E3e3eii.)i..** 456--3604 3e3t3i3i3E#lEle)ere
.))e)i•)e3e3eiett3e3<.)e3e3e.$X*ff)e#)e)e#ie 3e3i)e)e)e)e>E3e)e THANK YOU ***,'Y* 3*3t)Ela)e)f)eh#####3f##ie3e)i**3f3e3E*