1992, 05-28 Permit: 92003772 Sewer.6
SPOKANE 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. l understand that the issuance of this permit/application an •: n ubsequent inspection approvals or Certificates of Occupancy shall not be construed to
giveethoaitcroancel si sofany state wr�.ul ng construction, orasewarranty of conformance with the provisions of any state or local
regulating ugulrtytigconstruction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE S _
d-0 r f
PROJECT NUMBER== 92003772 ISSUED PERMIT DATE= 05/28/92 PAGE= 01
*********3E3e3Eik3E#***#3r*%***o* PERMIT INFORMATION 3e3E3e*** E3e***3 )e*-E%##****3e****
SITE STREET= 13559 E 5TH AVE PARCEL_•O 22541-0110
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — SOUTH BLAKE (925--529)
ri3E# SEE NOTE 3E3E3E
PLATO= 001 670 PLAT NAME= MOORE:: ' S PARK SUIS. TR. 5 54, VERA
BLOCK= 1 LOT= 10 ZONE= UR -3.5 DIST4= F --
AREA= F/A= F WIDTH= 90 DEPTH== 550 R/W=
0 OF BLDGS= v DWELLINGS= 1 WATER DIST = VERA
OWNER= MUL_I...ER WILHELM PHONE= 509 926 8973
STREET= 13519 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= BRIAN MILLER PHONE NUMBER= 509 927 8833
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
#3EeE***.%.3E*3E**3E3E*3Ert3*fl.H*fl EX*** SEWER PERMIT#3E3Eri3E3t•3E##3E3E3r3E3E3i3i3(3i3F#3f##3i3i343i•3F3i#
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE:: Y 10.00
SEWER CONNECTION 1 40.00
#3t•3EtE#3f3t..tt..IF#3t3i3i3i3t•3F#3f3(3Fit****3i3f3 *** PAYMENT SUMMARY *****3i*3t. 3F*** *n3i•di•.*.1f•*********
PAYMENT DATE 13cCEIPT4 PAYMENT AMOUNT
05/28/92 39 73 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: DOMI.TROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS --BUILT INFC)RMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIEL..D 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 YOLJ DIG (456--8000)
SEWER ,STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
3E**** x** CALL FOR INSPECTION PRIOR TO COVER 3i3E3E3i•3E3E3i3i3E3E
***3E#k3E*# 24 HOUR NOTICE REQUIRED 3E3E3i#3i3E3E3EiE3E
***3E3E3E*** 456-3604 3E3E3E3E3E3E3Eri3E3E
*##**343x3&*#*#35.** 3e *•1f•.He*3e**3E#** THANK YOU 3E3E3E3E****3 ******#3 ******)tie3e3i#3E****