1992, 10-07 Permit: 92008534 Sewer 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.I understand tha he 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 -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 4111 •� APPLICATION OWNER OR AGENT I , DATE 10/i
i l
PROJECT NUMBER= 92008534 ISSUED PERMIT DATE= 10/07/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13210 E 6TH AVE PARCEL4= 45221 .0916
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION _. SOUTH BLAKE (925-1010)
*** SEE NOTE ***
PLATO= 000279 PLAT NAME= BURCHELL ADD.
BLOCK= 1 LOT= 6 ZONE= AGRI DIST4= F"
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= 1 4 DWELLINGS= I WATER DIST =
OWNER= LEIK , JEROME PHONE= 509 928 6756
STREET= 13210 E 6TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET=-T= 11817 VALLEYWA`i AVE
ADDRESS= SPOKANE WA 99.06
ITEM DESCRIPTION QUANTITY FEE AMOUNT
___
_
PROCESSING FEE �_.__.._.._._ .---.10.00
SEWER CONNECTION 1 40..00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT PAYMENT AMOUNT
10/07/92 8665 50.00
TOTAL DUE= .00 TOTAL PAID= ._._.._ ---_50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT'_._.... c>0<00 50<00 a00
50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER 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
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 FORINSPECTION_ O '' TO COVER **********
********* 24 HONIE REQUIRED
**********
********* 456-3604 **********
******************************** THANK YOU *********************************