1992, 06-23 Permit: 92004356 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 permit/applicationis true
and correct, anduvmonzoo kaCounty to proceed withvmcossmo In additionI 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= 92004356 ISSUED PERMIT DATE= 06/23/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= .13504 E 7TH AVE PARCEL�= 4522i . i669
ADDRESS= SPOKANE WA 992216
PERMIT USE= SEWER CONNECTION - SOUTH BLAKE (925-613)
*** SEE NOTE ***
PLATt= 00i669 PLAT NAME= MOORE ' % %URBURBAN HOMES ADD
BLOCK= 4 LOT= 8 ZONE= AGRI DI%TO=
AREA= F/A= WIDTH= DEPTH= R/W= 50
0 OF BLDG%= i DWELLINGS= i WATER DIST =
OWNER= BOTHUM G O PHONE=
STREET= 13504 E 7TH AVE
ADDRESS= SPOKANE WA 992216
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 118i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
06/23/92 4775 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50. 00 50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-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 H TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %T D TO THE SEWER MAIN
********* CALL FOR INSPECTION TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
********************* *** ***** THANK YOU *********************************