1992, 06-05 Permit: 92003718 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, 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= 92003718
i
ISSUED PERMIT DATE::= 06/05/92 PAGE= 01
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SITE:: STREET= 13514 F. 5TH AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION SOUTH BLAKE (925-520)
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PLATO= 001 670 PLAT NAME= MOORE::' S PARK SUB. TR. 1 54,VERA
BLOCK::- i LOT= 10 ZONE== UR.. -3.5 D I STt'= F
AREA= F/A= F WIDTH== DEPTH= R/W=
OF BLDGS= 1 0 DWELLINGS= 1 WATER DIST =-
PARCEL..:= 22541-0617
OWNER= TRAN, V T
STREET= 13514 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME=: T L C CONSTRUCTION
BUILDING SETBACKS: FRONT= N/A LEFT= N/A
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CONTRACTOR= TLC CONSTRUCTION
STREET= 53656 E 12TH AVE
ADDRESS= SPOKANE WA 99216
PHONE=
PHONE:: NUMBER= 509 927 6760
RIGHT= N/A REAR= N/A
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PHONE= 509 927 6760
ITEM bESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
ah*}i•}F3P}f}t§r}(3}t.****3E}i}i3f}i}t3i3f}(**}t**3i• PAYMENT SUMMARY 3iA3t} } }(}i•}(}e*****} e******************
PAYMENT DATE RECEIPT:,",: PAYMENT AMOUNT
06/05/92 4240 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--BUIL..T 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 (4.5--8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSI_IR"
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE. SEWER MAIN
**3i.x..n.3<.ai..** CALL FOR INSPECTION PROF? TO COVER itii3t3i3i•}f3F3fii•3F
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