1992, 03-02 Permit: 92001025 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 specifled
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= 92001 025
ISSUED PERMIT DATE= 03/02/92 PAGE.-:: 01
**3i**********ii-**3--)****3i*3i*3i)i* PERMIT INFORMATION •****ifaeae:K:*3****M3e*,13***aeaef•a,;1u***
SITE STREET= 13524 E 5TH AVE PARCEI_y:=:: 22541-0622
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — ULID 0903 (92S-130)
*** SEE NOTE ***
PLATO== 001669 PLAT NAME=:: MOORE::' S SURBURBAN HOMES ADD
BLOCK= 2 LOT= 4 ZONE= UR -3.5 D:CST4 _
AREA= 00000000 P -/A=: E WIDTH= DEPTH=
0 OF )3L_DGS:- 1 4 DWELLINGS= i WATER DIST =
OWNER= KNEESKERN, E W
STREET= 13524 E 5TH AVE
ADDRESS= SPOKANE: WA 99216
R/ W=::
CONTACT NAME= COLIRCHAINIE: EXCAVATION PHONE NUMBER= 509 924 5485
BUIL.DING SETBACKS: FRONT= N/A LEFT= N/A RIGHT== N/A REAR== N/A
3L*,(dk*•******3*4* 3i 3*****313*3****i(*#** SEWER PERMIT 3P3*3*4*3*3***.*)f•.h..3*...***){34**3{****it*rfik3..4*
CONTRACTOR= COURCHAI.NE CONSTRUCTION
STREET= 16402 Ei: VAL..I...EYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
*3F3h*****3**3i3i***********433(3****
PAYMENT
PHONE= 509 924 5485
QUANTITY FEE: AMOUNT
Y 10.00
1 40.00
SUMMARY 3I..a..)<.3r*3i'3i3*3*'3i4*3i'3G* 343634313E..3k3F.h.3r3t..M.
PAYMENT DATE RE..CEIPT» PAYMENT AMOUNT
03/02/92 1368 50.00
TOTAL DUE= .00 TOTAL PAID== 50.00
PERMIT TYPE: FE::E. 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
SEWE::R, 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
*3i3(**
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
********* CALL FOR INSPECTION PRIOR TO COVER ******)e***
********* 24 HOUR NOTICE REQUIRED ***3i***3i*.k
456-3604 3i3i*****3E**
e*******36313i3E3F*36*3i.34****3.* THANK You **3 3{*3i*3E**3**** X*#343i3i*****3c%*i*3 ***