1992, 05-06 Permit: 92003137 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 ,F�/ p� %� �%
OWNER OR AGENT t0yc.�d� / /�[ l DATE APPLICATION
PROJECT NUMBER= 92 0031 37
ISSUED PERMIT DATE= 05/06/92 F'AGE:= 01
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SITE STREET- 17210 E 5TH AVE PARCEL:::- i 57.....; 908
ADDRESS= GRE E::NACRES WA 9901 6
PERMIT USE= SEWER CONNECTION — DRY LINE ONLY
*** SEE NOTE ***
PLATO= 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD,
BLOCK= 4 LOT= 8 ZONE= UR -7 DIST=
AREA= 00000000 F'/A= F WIDTF•I- 83 DEPTH= 120 R:'W- `>t
T OF BL_DGS= 1 ,r DWELLINGS.: i WATER DIST = CONSOLIDATED :ERR(; 41
OWNER= HARTFORD, LOUISE
STREET= 17210 E STH AVE
ADDRESS= GREENACRE::S WA 990.6
CONTACT NAME= LOUISE HARTFORD
BUILDING SETBACKS: FRONT=S NA LEFT= NA
PHONE= 509 924 951 9
PHONE NUMBER= 509 924 9519
RIGHT= NA REAR= NA
***************************** SEWER PERMIT******i(•*********•1F*************
CONTRACTOR= OWNER PHC)NE :
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40..00
*****•**•*•*•*••x•*•*•*******3•********* PAYMENT SUMMARY * ** :**>~* •• • * • * ** •• **** :
PAYMENT DATE RE::cE:IF'TO PAYMENT AMOUNT
05/06/92 3353 50,00
TOTAL DUES= .00 TOTAL PAID= 50.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
'EWER PERMIT 50,00 50,00 ,00
------------
50,00 50,00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: : ,JUL..IE SHATTO
SEWER STUB AS --BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) C0i4F1R.M 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 (456-8000)
SEWER ,TUBS ARE TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE:. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
****r•}► ** C:a°71...1... FOR INSPECTION PRIOR TO COVER -*********
******:.** 24 HOUR NOTICE REQUIRED **********
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