1992, 06-04 Permit: 92003536 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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= 92003536
ISSUED PERMIT DATE= 06/04/92 PAGE= 01
3e3E3E3Ek3E#343*iE3E3E3E3E3** 3E3E#3E3E3*)**3E34* PERMIT INFORMATION
SITE STREET= 131:..3 E 5TH AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE:: (92S--490)
*** SEE NOTE a **
PLATO= 999999 PL..AT NAME= RANGE
BLOCK= LOT= ZONE= AGRI i ..S
AREA== F: A= F WIDTH== I).h'�(tl=:: RRW= 50
OF BLDG,a= 1 Ir DWELLINGS::= 1 WATER DIST =
*3E3E3E3E3E ae)E3E** 3r •ii§43E##3E# 3E#aE3E3E*3E#
PARCEL;/= 22541-9062
OWNER= DOL_E::SITY, J I) PHONE=
STREET= 13124 iE 5TH 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
%34343/9/34343*iia/•.u..u.3i.3i..**-)*3*.3i..x.•M..k.3i.3i.3i.*3i.at.3E SEWER PERMIT ********************w******
CONTRACTOR= H & S CONSTRUCTION
STREET= 11817 9: VALL EYWAY AVE::
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FE::E::
SEWER CONNECTION
3i—Kia flea*** ***3434343i•3i• 3Ea6.k..1E.h..*.......#.
IFIUANT
Y
1
PAYMENT SUMMARY
PHONE= 509 926 2964
FEE AMOUNT
10.00
40.00
**********4*********** 34**163***
PAYMENT DATE RECEIPT P PAYMENT AMOUNT
06/04/92 4187 50.00
_......-------....----
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE:
SEWER PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING. a
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 AT THF COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TC) FII.:L..D LOCATE: AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE:: BURIED CABLES, GAS PIPING, WATER LINE::S, FCi ,
CALL BEFORE YOU DIG (456--0000)
SEWER STUBS ARE TO BE LCEH(ECKED POOR TO CONNECTION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE: SEWER MAIN
343434#9494x343E CALL_ FOR INSPECTION PRIOR TO COVER 943E3E3434#3i3E3Eri
9E9E#3E9E**** 24 HOUR NOTICE. REQUIRED 34343':•aE#3ii3rrE3E9E
3i.iE.1E)***3i1i3E 456-3604 343i*3i34343E343434
3E3E,A3i343i•3i3i3i.3E...9i3i9i*3434#3i3i3E3E#3E3Er. ***i4** THANK you 3434343c3i34343E3E3E9E#3E3E3E3E34*3E*i4 iE3E34##349E3E34aE34*
3.