1992, 06-04 Permit: 92003534 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 REOUIREMENTS/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= 92003534
ISSLIEI) PERMIT DATE= 06/04/92
PAC
x-*e3e3E3e jix•••x******1i•Jf3E#**ie*x****-* PERMIT INFORMATION •Elr1 *****3F*)E**iE Tie ii*******iF i(X3 71
SITE STREET= 13203 E 6TH AVE f'ARCE:L*== 22541-9063
ADDRESS= SPOKANE WA 992.16
PERMIT USE= SEWER CONNECTION -- SOUTH BL.AKE:: (92S-488
3e#3e SEE NOTE ***
PLATO= 999999 PLAT NAME=:: RANGE
BLOCK= LOT= ZONE== AGI<I DISTO== F-
AREA= F/A= F WIDTH== DEPTH=: R/W==
O1- BL.DL,S= 1 0 DWELLINGS= i WATER DIST =
OWNER== THOMAS, FRANK
STREET= 13203 I:E 5TI'i AVE
ADDRESS= SPOKANE WA 99256
CONTACT NAME== H (".r S CONSTRUCTION
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT== NJA REAR=: N/A
3e##3E*u3E3e#3t•3E3E3E**************** SEWER PERMIT 3f3eie3e#ie3eie#ieie}e3i#3E3E3e3EH3ia3e3E3
PHONE=
PHONE NUMBER= 509 926 8964
3e**
3:
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 1181 7 E VAL.I...EYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FE::E:: AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
*3e#3t•** 3i•H•.3E .h..$3E H.yi .4 iE343i.3(..H•.if3EM.3e3e 3E 3E* PAYMENT f SUMMARY 3t.*..**********34.1E .ii**3i3i***•k*3e**3e*
PAYMENT DATE RECEIPT:B: PAT,LNT 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 50.00 400
PROCESSED BY DOMI TROVICHi, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIEL..I) LOCATE AND CONFIRM THE.
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CAL..(._ 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 MAIN
343o-343eiE3E3e3i3e CALL FOR INSPECTION PRIOR TO COVER 3e,t3e3 X3t•3e43i*
3E3e3E3e3e**** 24 HOUR NOTICE REQUIRED #3i3E*******
*3o.tt.3t.3E3e**3i. 456-3604 3E3E3i.3*3F3e*3e#3e
3r3E3i*#3i3e3F*i(3e3E9e#3e ru3e3e-e3e3e3e-i•YE3e3F7e#3E3e-i-* THANK YOU 3i*3ix3133e-t•*#3e-e3E#***3E*******#**#3E3i