1992, 06-05 Permit: 92003716 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 state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER== 9200371 6
ISSUED PERMIT DATE= 0,1�/05/92 PACE= 0;
*343H4.343(3484#34 3 34 34 34 34 34#•3343434.333 1111* PERMIT INFORMATION ie3*3E3P3E3i•3f3e31313*** 3e3E3d3#3r3P343434333Eii3i 34
SITE STREET- 1:3220 Ei: STH AVE PARCEL:;:_: 22541-0415
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - SOUTH BLAKE.: (92S--519)
*343 SEE NOTE 3*33
PLATO= 005 808 PLAT NAME= NULPH' S SUB.
BLOCK= 2 LOT= 3.'.(:INE:::::= A(GRI DIST +":::: l:
AREA= F/A= F W]:DTFk: DEi:PTF r?%W=.
:G OF BL_DG.S== 1 :u DWELLINGS= 4 WATER DIST --
OWNER= BROE:SCH, AARON
STREET= 13220 E 5TH AVE
ADDRESS:= SPOKANE WA 99216
PHONE—
CONTACT NAME=:: T L C CONSTRUCTION PHONE NUMBER== 509
BUILDING SETBACKS. FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
343343i••333333334334343i3*34* 3{.34 34 34 34 34 34 34 34 34 SEWER PERMIT 3a3i3431'3f'3E**3i'3i3i**343E#343{#** i3i3*33iit'u'3i'ii
92, '3
;0
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E. 12TH AVE
ADDRESS::: SPOKANE WA 99216
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
3i343433..3.34 31 33 34 3(.334343433.3*3*343433343434343433* 3t.
PHONE:= 509 92 , 6760
QUANTITY FEi:E: AMOUNT
Y
10.00
40.00
PAYMENT SUMMARY .1{.34343*.3333':34343434343r343i..*3i3f>{3 A3(3 A L3
PAYMENT DATE. RECEIPTA: PAYMENT AMOUNT
06/05/92 4240 .747.00
TOTAL DUE== .00 TOTAI... 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: DOMIrRO'VICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS --BUILT INFORMATION IS AVAIL.ABLEi: 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_.INES, ECT.,
CAI...L 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
33t#3 34 34 34 34 3 CALL FOR INSPECTION PRIOR TO COVER x3 i3434X3u.u..tt..u..>i.
343:3{,t,t3i3i,e3 24 HOUR NOTICE REQUIRED •3##33343#3434ie
3*34*.*.1(.34.3. 34.14 456-"3604 34.33(•33434..:443 3e
3 34 84 33 33 3 34 34 3d434dr.ii34i43E34di3i#3i34*3i3i)13*34343e3x3E THANK YOU 3£3: Sr4*3E3i3e3E3E
4343*3433*3* 34343H4 -x 3* 3* 3r 3*3E3E3*