1992, 05-08 Permit App: 92003228 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROjECT NUMBER= 92003228 APPLICATION DATE= 05•`08/9.; PAGE== :i
3i•-'r:•*3i3i''ii THIS IS NOT T A PERMIT ii*kaiit*
PENALTIES WIL_L... BE ASSESSED FOR COMMENCING WORK WITHOUT HCiI..7'T' A PERMIT
!
SITE STREET= 13418 E 6TH AVE: E'AFt E.I... = 22541 -0802
ADDRE::;>S:.. SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION .... SOUTH EtL..j'iIS:E:: ,:92S-4.46i
3i3f3i SEE NOTE *3':3-
PLATO= 00 1050 l;t50 !..I. A ! NAME= GRAY 1ST_A_i... R::.r L..f i
BLOCK= i LOT= .' ZONE== ! i.,'i•;ri iiiI,`.;T::c:: I:
!AI
AREA= F'/t ::: F WIDTH= IiE::F:'DEPTH— E ;•RI::::
:L OFBL_t?Ge7.... I 0 xiWi:.L_L..ING >:- I WATER DIST• ....
OWNER= CHR°is SMAN, W i PHONE=
STREET= ! .'1T 4 1 E. E. o•t F H A'E E.
ADDRESS= SPOKANE WA 99216
CONTACT
ON A_ 1 `f 'E : ALWAYS y" YiiE PHONE t( MB R_ 509 r
: c 8500
BUILDING SETBACKS : FRONT:: N/A L_EFT::: N/A RIGHT= N/A REAR:::: N/A
•ii 7+:Ji 1<'3i ii 3i-b:'****3i 3i*3i h P:31.***3i b:*3i'-ii•ii 3i SEWER PERMIT it'•ii•ii*3i N:*•ii'it'3t-A: '**fi:N:R A:•P:•** 3i•P:N:****
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STR
5;• -
Iti i= PO BOX 14 1562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
PROCESSING FEE `(' 10,00
SEWER CONNECTION 1 40.00
PERMIT T'Y'PE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMi •T 50.00 ,00 50. 00
PROCESSED t BY : tt[_i1MI !"RE. 4ICH . ROBIN
I'•'Ri.N•T ED BY : IiC:iMi. (l'1`.Ob'is CU , ROBIN
SEWER STUB AS—BUILT AS—BUILTINFORMATION IS ( Vt=iisi...Hr:sI...i: AT THE COUNTY
UTILITIES DEPARTMENT i456__3604i
CONTRACTOR OR APPLICANT 1:S TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB I-i. :OR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, ECT .CALLBi::FORE YOU DIG (456-8000)
)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY f:iRE. CLEAR AND E.iNt:l.t.�c'Tlt+i: ► r.:.I:i TO THE SEWER tjE `:• ' c
3i)' ii k A 3i'3+i 13•A CALL Ff1 INSPECTION FiOFTO COVER 3i ii•3,:•**3i ii•N:*•ii
3i'3i 3i•3i 3i 3i*3i' ' 24 HOUR O'• -i i.'I i t 3i 3i 3i 3i 3i 3i 3i 3r 3i 3i
********* 456-3604 -ii•3i**3i'i•:3i 3i•'ii 3i
***H**************************** THANK YOU 3i3i3i3i3t»-**kri3i*:.3i3i3±•3i :'x-**•*•xn:'ii*-ieu-*:c:3;*1'