1992, 02-21 Permit: 92000727 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, A 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
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 920007:.7
ISSUED PERMIT DATE= 02/24/92 PAGE= 04
****** **#***nn************ PERMIT INFORMATION ****************3 *•**3E*******
SITE STREET= 13415 E 5TH AVE FARCE I..O== 22544--0202
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - SOUTH BLAKE (92S--76)
*** SEE NOTE ***
PLATO= 004051 PLAT NAME= GRAY ADD
BLOCK.... 2 LOT= 2 ZONE= AGSUB DIST:== F
AREA= 00000000 F/A= F WIDTH= 79 DEPTH= 176 R/W=
OF BL.DGS= i 0 DWELLINGS-= 1 WATER DIST =
OWNER= THURBER, ROSS D PHONE= 509 926 9978
STREET= 13415 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT== N/A RIGHT= N/A REAR== N/A
*************•**************** SEWER
PERMIT
******************************
CONTRACTOR= TLC CONSTRUCTION
STREET= 13846 E 4 2TH AVE.
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY
PROCESSING FE.E:. Y
SEWER CONNECTION
PHONE= 509 927 6760
FEE AMOUNT
40.00
410.00
*******x•*•***••x•****************** PAYMENT SUMMARY ***********•**•**•*************•
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
02/21/92 1140 50.00
TOTAL DIJE: .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 AVAILABLE 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, ECT.
CALL BEFORE YOU DIG (456-0000)
SEWER ,STUBS ARE:: TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER *•*** ******
********* 24 HOUR NOTICE REQUIRED **********
******•*** 456-3604 **********
*************•**************X**** THANK YOU*************************iE*******