1992, 06-04 Permit: 92002250 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 u 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 OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9200225O ISSUED PERMIT DATE= 06/04/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13321 E 6TH AVE PARCELO= 22541 -05ii
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - SOUTH BLAKE (92%-3i2)
*** SEE NOTE ***
PLAT�= OOiO5O PLAT NAME= GRAY 1ST ADD REPLAT
BLOCK= i LOT= ii ZONE= AG%UB DIJTO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= DEVINY WILLIAM PHONE=
STREET= 13321 E 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= 11017 E VALLEYWA; AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y iO.00
%EWER CONNECTION � 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
O6/O4/92 4187 50 .00
TOTAL DUE=DUE= .00 TOTAL PAID= 5O. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
SEWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O. O0 50.0O .00
PROCESSED BY : DGMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITEDEPARTMENT (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 (456-808O)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************