1992, 03-10 Permit App: 92001407 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= 92001407 APPLICATION DATE=E::::: !.11/ 'zcy/9 - PAGE= 01
***** THIS IS NOT A PERMIT ******
PENALTIES WiU... BE ASSESSED D FO COMMENCING WORT<. WITHO!.l..I• A PERMIT
SITE STREET= 13515 ,.- 7TH r t V E= P A R C E 1...:o:= 72S41 -0720
ADDRESS= SPOKANE. WA 992216
PERMIT T USE== SEWER CONNECTION -- SOUTH BLAKE (92E-172)
SEE NOTE ** •
PLATO= 001669 PLAT NAME= iMC.lORE:: ' _ �!:\I IRBU BAN HOMES ?'DD
BLOCK= LOT= 8 'ZONE= AGRI DISTO= I=
Or•} BLDAREA= 00000000 F'i r.:+:::: F WIDTH= DEPTH= F �'+.�i=_ 50;'}
•M F' BGS:::: •i :a: DWELLINGS= .I WATER DIST •-
OWNER= F:'O i..i L E:., EDWARD F:'i..O E::=`-
STREET= 13515 E 7'ili AVE.
ADDRESS= .LPOOKANE:. WA 9922.16
CONTACT NAME::::: H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT=:: N/A LEFT= N/A RIGHT= N/A REAR= N/A
nnk i at) nit* i*ut t Ni**h hiaib*bMSEWER - t ' I -
}{'*31*H:'}!••P:•}l'p:N:){.**.p...k..P-•P:*}_.-N:'P:•b:'A:•N.''A:*Ii'!t'-A''7{
CONTRACTOR=< ;, E CONSTRUCTION PHONE= 509 9268964
STREET= 11817 E:: ti ALLE::'f WA Y AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE .7 10,00
SEWER CONNECTION 1 40,00
PERMIT ...Y E FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50,00 .00 50,00
50,00 „00 50, 00
PROCESSED BY : D(i?•i:F T ROVItiF'I, ROBIN
PRINTED BY : DOMITR(:l'+.•'ICH: ROBIN
SEWER _.. (U.l: AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT f. .. ii CONFIRM I i::
.I.S � �:! FIELD LOCATE AND I r'I
EIEVA 1 Inn AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES;I...i:S, GEIS PIPING, WATER I...1:,NE:::', ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR R T:'. CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER F MAIN
)!}ip:Ni{•**•u* CALL FOR INSPECTION ION F'`RIOic TO COVER *3!•-kh:•}i•*n:n*ii
*riiiN•it •*#ii4 HOUR NI l NOTICE REQUIRED :k•ii :e•*•an*xr•
.... •P•:p•tN.'J@ F..PrP:•..'A:
9t•)!•�:-A:•P:P:Vii•1=:'P: ���..?6—3604
_ ! !H9 *ptyPPt93 * Y tt P9iL !jK: p**PK* THANK YOU
P:Pr:„:)!•it 9i:•9t P:R•:a•i!•H•K*9L':+::,i•*7t P:'*)k Yi.'!F•J?-:}i-'H*9!•'h`3!'*ik