1992, 03-09 Permit: 92000653 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 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= 92000653 ISSUED PERMIT DATE=: 03/09/92 PAGE-_:: 01
**** •**** **** >:**ai•ai******** PERMIT INFORMATION •* • •* • •** • •** • •* •* ' ********
SITE:: STREET= 13410 F 6TH AVE F'AF4:CE::i...4= 22541 -0803
ADDRESS= SPOKANE WA 9921 6
PERMIT USE= SEWER CONNECTION -•• SOUTH BLAKE (92S-71 )
*** SEE NOTE ***
PLAT-:= 001050 PLAT NAME= GRAY 1ST ADD REPLAT
BLOCK=:: i LOT= 3 ZONE= AGSJR DIST4=
'::: I
F
AREA=A=- 00000000 F':'ft== WIDTH DEPTH=:: R/W=::
:: OF BLD ,S= i 4 DWELLINGS= i WATER DIST :_
OWNER= AUGUSTINE, S A PHONE=
STREET= 13410 E 6TH AVE
ADDRESS= SPOKANE: WA 992i6
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 •jai•;r* '*•x* :** : :*** •* ****••*****ac'
CONTRACTOR== H & S CONSTRUCTION PHONE== 509 926 8964
STREET== 11817 E VALLE:.YWAY AVE:.
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSINGFEE 10.00
SEWER CONNECTION 40.00
• • *** * ** • • ••;t•x•* •*•x•• h** • * * PAYMENT SUMMARY *•xi** **** *** :********•******
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
03/09/92 1 533 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 70.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
µ
SEWERPERMIT s0.00 50.00 .00
50.00 50.00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS--BUILT INFORMATION IS AVAIL..ABI_.E:. AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT 1:S TO FIELD LOCATE E ANI) 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 (1. I-.AR AND UNOBSTRUCTED Ti) THE SEWER MA:Frr'
x• •*xa* * CALL.. FOR INSPECTION PRIOR TO COVER •N;a# •*#*''a,r''a
a•ii:ri•3i•a .• •** 24 HOUR
NOTICE REQUIRED *�i•3E�Eii' • •*z
**9t P• •*P:*•R• 45e:)-3604 •1(•P:'11'P:•Ab:•A:P• •
*»r*ki u** ** r*x***irr) ni #irnr fi� THANK YOU
fi 3R! iRVii9Riiiri) i4iiRk ifARii ? t iiil