1992, 07-28 Permit: 92004237 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92.0042::37
ISSUED PERMIT DATE= 07/28/92 PAGE= 31
*M3e3e •***3E33eiexx**3e* *—).3Exx*)He3** PERMIT INFORMATION ***)*********Ni(*******:* (*.X*
SITE STREET= 13107 E 5TH AVE PARCELOr 45221.1903
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - SOUTH .i3L..AKEi: (92S-605)
*** SEE NOTE ***
PLATO= 003781 PLAT NAME== SWANNACK
BLOCK= I LOT= 3 ZONE=: AGRI DISCI== F
yAREA=,_{W' F/A= F WIDTH= DEPTH= R/W= 50
0 OF L..DLS= •I DWELLINGS=1 WATER DIST —
tl'
OWNER= ME:NGAS, PAIJLINE
STREET:::: 13107 E 5TH AVE
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME== ALWAYS ACTIVE -- RON SLOAN PHONE. NUMBER=:: 509 928 )
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
3.###3.3.343E3E3.3{3i•313(•3i•3(3e3i****3iie3e3i*** SEWER PERMIT 3e'X'/(3F#3i3tii3t•3{3eie;(*ieriri3iie#3i3e3e#11•;13!1},Yie
CONTRACTOR:::: ALLAYS ACTIVE. PHONE= 509 922 8500 .
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FE.E. Y 10.00
SEWER CONNECTION 1 40.00
3ea1•u•ux•ittefrt3131'****3i•*aeae•nn*3e*3e*3e3e*** PAYMENT SUMMARY ai3i***••****1n*e1e.x.x•3.....x..>t'x3i3e3'ae3e**
PAYMENT DATE RECEIPT:e PAYMENT AMOUNT
07/28/92 84237 50.00
------------
TOTAL DUE= .00 TOTAL PAID= :50.00
PERMIT TYPE FEE AMOUNT AMOUNT F'AI.D 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 15 AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT 1S TO FIELD IODATE' AND CONFIRM TI_IF
ELEVATION AND POSITION OF SEWER STUB PRIOR To ANY CTHFN
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 1"iA:Ei'?
K*****fl* )eX)t%3e CAL..i... FOR INSPECTION PRIOR TO CO'M'ER PX) 3i•x•xk3e3ed
3.3 k,t3e3.H'3.•3E 24 HOUR NOTICE REQUIRED 3E3HE3.#3.h3.3.3.
}nge3Q3i3r3*** 456--3604 )E3E)e). =ke.x).9:3r
ee3e3e 3E31?*b.3. iE 3e3.3.J.** xded.•3E-EBe3eri*ee3e e,& e3E* THANK y4 r**********1;****
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