1992, 04-16 Permit: 92001591 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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= 92001591
ISSUED PERMIT DATE:= 04/56/92 PAGE= 01
3434343E •#3134*iiit•if•iiri*•*fl*•.tt..h•.***u..mit.ft• PERMIT INFORMATION r*******3rfiai.fi..tt.it..**itiefe**i ******
SITE STREET:::: 13321 E 5TH AVE
ADDRESS= SPOKANE: WA 99216
PERMIT USE= SEWER CONNECTION - SOUTH BLAKE (92S-256)
3E•3E34 SEE NOTE. ***
PARCELO= 22541-0205
PLAT;:= 001051 PLAT NAME= GRAY ADI?
BLOCK== 2 LOT=: 5 ZONE= AGRI DIST:v:= F
AREA= F/A= F WIDTH== DEPTH=
0 OF BLDGS::= 5 0 DWELLINGS= 5 WATER DIST =
OWNER= MANN, J R
STREET= 13321 E 5TH AVE
ADDRESS=:: SPOKANE WA 99216
PHONE=
R/ W=:: 50
CONTACT NAME= T I._ C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR== N/A
3E***3E34#343iri..1h***34ii34343t343E3E34iF#3t•*** SEWER PERMIT 3431•343e3i343434343i3434u3E3i•343i34343E3E3E3E3434*3E343E3E
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY
PROCF:::SSING FEE Y
SEWER CONNECTION
PHONE= 509 927 6760
FEE: AMOUNT
10.00
40.00
*X*•X;iii********;t3l**fl**fl *$..n•.tt•*•.x•*• PAYMENT SUMMARY •*iE***•**1k#*fS9i3i.g6.H..1r*3i****)E****3i
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/16/92 2760 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 13Y: DOMITROVICH, ROBIN
SEWER STUB AS—BUIL..T INFORMATICIN IS AVAILABLE:: AT THE COUNTY
UT:LI._:ET:EE.5 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, 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
343E•**34343i:** CALL FOR INSPECTION PRIOR TO COVER 3E3E34&343i3i•ri343i
**** **** 24 HOUR NOTICE REQUIRED 3r343i3ii4ii343i343i
3t.;i..h..A..><..h.*** 456-3604 3431..;<..k3434*343E3E
****#3E 3' *********-i*****
E#3E# THANK YOU ******
3E#3E 3E********#*3E •k:****3E dE3E 343E3E*