1992, 09-16 Permit: 92007682 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 t to compile said perm it/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 •-issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or ca cel th- .rovisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
1 laws regulating construction.
SIGNATURE OF
rA lb......e-----.., APPLICATION (V/62( 2 _
OWNER OR AGENT DATE
^
PROJECT NUMBER= 92007682 I%%UED PERMIT DATF= 09/16/92 PAGE= Oi
************* ***** ******** PEpMIT INFORMATION **** ***********************
'
SITE STREET= 13411 E 6TH AVE PARCELO= 45221 .0513
� ADDRESS= SPOKANE WA 99216
�
PERMIT USE= SEWER CONNECTION — ULID 903 (92%-930)
1 *** SEE NOTE ***
PLATO= 001051 —FLAT NAME= �RAY ADD
BLOCK= i LOT= i3 ZONE= A�%UB DI%T�= F
A"EA= 000O000O F/A= F WIDTH= DEPTH= R/W=
� OF BL:G%= i 4 DWELLINGS= i WATER DIET =
OWNER= LANE , JOHN PHONE= 509 926 73i0
STREET= 13411 E 6TH AVE
ADDRESS= SPOKANE WA 992i6
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= it 926 8964
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
************ ****************** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/16/92 7775 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
------------- ------------
50.00 5 5O ...OO .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED
CALL BEFORE YOU G
YuA:1"(t!L!!!:17.71: t :AlEu;N:M
ECT .
SEWER STUBS ARE
TGIN%URE
THAT THEY cf:1RE CLEAR 'Tr PvT CT D TO THE %EWEN MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*********)f:* ****** ***** ****** THANK YOU *********************************