1992, 09-02 Permit: 92007162 SewerSPOKANE COUNTY DEPARJ MENT OF BUILDINGS
W. 1303 BRIADWAY 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 under . - at the issuance • •- .•'t/ap•' ation and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to vi ate or ca el the provis •ns of any sta a al law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating c.. struction.
APPLICATION q
SIGNATURE 0
OWNER OR AGENT -7 DATE
PROJECT NUMBER= 92007162
ISSUED PERMIT DATE= 09/02/92 PAGE:' 01
3e * 3:3e 3e 3E if 3e 3r 3i 3{3(3i.3e 3(•3r 3e 3e 3e 3r#3e 3F 3E iF.n 347E PERMIT INFORMATION ** is 3r 3f n3E§i•iE 3e 343f 3e *3e ve 3r 3E 3e3t #3t * * rri *
SITE STREET-: 53520 E STH AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE (92S--373)
3t** SEE NOTE 3i#3E
PLATO== 001670 PLAT NAME= MOOR'r..,_S PARK SUB_TR.,1,54,'VERA
BLOCK== LOT=5 ZONE= (.IR -3.5 DIST:
AREA= F./A=: F WIDTH:::: DEPTH=
u OF BI...DGS= 1 :r' DWELLINGS= 1 WATER DIST :_:
PARCEL.v== 45221.0618
iii W=
OWNER= RUSSEi:L.L. PHONE==
STREET= 13520 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME:::= TOM STONE: EXCAVATION PHONE NUMBER= 509 928 7710
BUILDING SETBACKS. FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
3i343i3i*363*3t#t@3f*•ii.****#****iiii*i(•t{•** SEWER PERMIT **************************i
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7710
STREET= PO SOX 14154
ADDRESS== SPOKANE. WA 99214
ITEM DESCRIPTION QUANTITY FE::E:: AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
3*u*3c3F*#34g.*3{•363e*3i3t•*3E*#**3F3t3I* 3i 3t343i3[•* PAYMENT 5U M L'1 A RY 3E3i 343i3i3{3i3k*3i3i3i3F#3i*it3(3** 3i3f)k3i3t*3f3i
PAYMENT DATE RECEIPT. PAYMENT AMOUNT
09/02/92 7297 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: DOMITRO'VICH, ROBIN
PRINTED DY. DOMITROVICH, ROBIN
SEL4E:R STUB AS--BUIL..T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT, IS TC? FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION O1= SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
10 LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
(../"31...1... BEFORE YOU DIG (456--E3000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
3i3i**3E3F**Y: CALL FOR INSE'E.t::T T.ON PRIOR T'O COVER 3i3F#3f3t..36#3iai•#
3E#3£3F3E3i*** 24 HOUR NOTICE= REQU1RE.D rrv3e****3e***
.){.*.K.. ..*..*..)y..jt..*. 456-3604 3¢ 3i 3f 3i 3i 3f 3i..)t 3{..A.
3i3e#3e3e##3i3iv:3e3E3tik3e3F343<3i3iit313�aiik-3f3r 3r3E3F# THANK YOU 3f ie 3t 3e 3e 3ti 3f. 3e 3e3E#36343i3i3e3E3F3i3fii34 #3r is ***OE**