1992, 08-12 Permit: 92006364 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 stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92006364
ISSUED PERMIT
DATE= 08/12/92 PAGE= 01
3(•3e****3e****3(•3e3E3e3e##3e3e3t•3e#ir3e3E*3e PERMIT INFORMATION 31*1e#
SITE STREET= 1:3217 E 5TH AVE
ADDRESS- SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE (92S-796)
3e3e* SEI_NOTE *3e34
#3e#3e##3e33e3e#3e3c 3** '•e3e3F3e#ve3e3E
PARCELO= 45221.9065
PLATO= 999999 PLAT NAME=: RANGE
BLOCK= E i.__OT= ZONE:::: AGRI
AREA=:: /A== F WIDTH=
v OF BLDG5== 1 4 DWELLINGS= 1 WATER DIST
DISTO =
DEPTH== R/ W== 50
OWNER== SMITH, TIM PHONE=
STREET= 13217 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME-: SIMPSON SANITATION PHONE:: NUMBER= 509 926 4721
BUILDING SETBACKS: FRONT= N/A LEFT== N/A RIGHT N/A REAR= N/A
*34##3k *343E 34 s(•343e 3e 3e 3t 3e 3e 3F 3F iF 3F 3Fi4.u.3e r(•*iF 3i' SEWER PERMIT *******3. 3r.u.* 363E **3e de.u. ie 3e 3k 6*
CONTRACTOR= SIMPSON SANITATION
STREET= 7812 E BAL_DWIN AVE
ADDRESS= SPOKANE WA 99212
PHONE= 509 926 4781
ITEM DE::SCRIPTION QUANTITY FEE: AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
#3e1e3e 3e1e3*X3e#3e*343(•343(•3e3e3f3i3F3e3e1e#i(•3(•3e3e3e# PAYMENT
SUMMARY
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PAYMENT DATE RECEI 'T v PAYMENT AMOUNT
018/12/92 6465 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
PRINTE::I) BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVA1L..ABI._EE 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 LINES, EC'r.
CALL BEFORE YOU DIG (456--2000)
SEWER STUBS ARE TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY ARE CLEAR AR AND UNOBSTRUCTED TO THE SEWER MAIN
•1e34*Di#343e3e3@ Cr1L..L.. FOR INSPECTION PRIOR TO COVES; X.X)t1e1e,e343434d
3e3E*13e*3e1e'1f 24 HOUR NOTICE REQUIRED #3e##3E1*3e1*
133e3e3e1*3F3e 456-"3604 3*1:3(343e3E)43e3e3e
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HF*************************** E3e3e3f3f3e343f3Fde#3e T 1ANK YOU•)e3(•9e3e3f3e*3F311ek3E*3E3E3**3E3e3F3F#3e1e3e36*#3c3e*3t3e