1992, 08-04 Permit: 92003122 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 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= 92003122
ISSUED PERMIT DATE= 08/04/92 PAGE== 01
**************************** PERMIT INFORMATION ***********************#****
SITE STREET= 13213 E 5TH AVE PARCEL= 4 5221 .9064
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — SOUTH BLAKE (92S-428)
*** SEE NOTE ***
PLATT= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI DIST*== F
AREA= F/A= F WIDTH= DEPTH=
0 OF BLDGS= i 0 DWELLINGS= 1 WATER DIST =
R/W= 50
OWNER= EVANS, R D PHONE=
STREET= 13213 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= SIMPSON SANITATION PHONE NUMBER= 509 926 4781
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT- N/A REAR= N/A
#*****#************K***#***** SEWER PERMIT ##******#*****#***************
CONTRACTOR= SIMPSON SANITATION
STREET= 7812 E BAI...DWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE== 509 926 4781
QUANTITY FEE AMOUNT
Y 5 40.00
********************# ********* PAYMENT SUMMARY *$*n***********************
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
08/04/92 6117 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 AVAIL.ABL..E AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIEL..I) LOCATE AND CONFIRM TFIE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER L..INE.S, 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 MAIN
********e CALL.. FOR INSPECTION PRIOR TO COVER #****##***
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 ********#*
**************#•**iE************** THANK YOU *****************#***************