1992, 06-04 Permit: 92003535 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 additionr 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 permiVapplication 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= 92003535
363*i636i6#36#**.3E**i@N,**3i(iPi@3(.1(u•kv
ISSUED PERMIT DATE= 06/04/92 PAGE= 1
3 PERMIT INFORMATION
k 363636363('3636363('3r3*3('3.)('3*363636'h3*3*3*363*363(3
SITE STREET=: 13124 E 5TH AVE PARCE::LO== 2254i-9068
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE (92S-4439)
3636# SEE NOTE 36##
PLATO= 999999 PLAT NAME.- RANGE
BLOCK= LOT= /ONE::_ AGiRI DISTO= F
ARE::A=:: F/A=: F WIDTH= DEPTH=::
OF BL.DGS= 1 `v DWELLINGS= LINGS::= 4 WATER DIST :._
OWNER= BAST, H i...
STREET= 1 31 24 E 5TH AVE
ADDRESS= SPOKANE WA 99216
PHONE-
R/W_ 50
CONTACT NAME:= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING. SETBACKS: FRONT== N/A I._L(r N/A RIGHT= N/A REAR== N/A
*****************************SEWER
PERMIT 'tF 3(.3F 3(.3E 3(.3(. * * 3(.3i.3E 3e ie i(• 36 i(• 3k 36 3e 36 # 36 i6 ii * 3, * * 3r
CONTRACTOR== H & s CONSTRUCTION
STREET== 11817 E VAL_L_EYWAY AVE::
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
Y 10.00
4 40.,00
36 36 36 36 3( 363i36 36 36 36 36 36 36363636363Fri)i3{3t3i3F3f#*3(* PAYMENT SUMMARY ***********************x****
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/04/92 4187 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
PRINTED
BY:
DY:
DOMITROVICH, ROBIN
DOMITROVICH, ROBIN
SEWER STUB AS—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 I...INE:S, ECT.
CALL BEFORE. YOU DIG (456--£3000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE:
TEIAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE. SEWER MAIN
tt•.u..u..tt.3(•.n..n..u.3(• C:AI_.E.. FOR IN.SPEC:TI:ON PRIOR TO COVER 3hri#3rriuri3er:36
#36 36 36 36 36 36 36 36 24 HOUR NOTICE REQUIRED 36 #16463636 H•3E 3E L:•
v:.3.3.363..x..x.3.3r o56 .3604} 3i363436 36 36 36 36 36 36
3636363636#3*3**X*•363(•3636#363636#36363636#3636#3636#3P THANK YOU 3636#363636363*36363636363***3f1f*3f*M36#3E3f3i***3E3*3