1992, 02-28 Permit: 92000397 SewerSPOKANE COUNTY DEPARTMENl[OF BUILDINGS
VVA303BN8A0NMY8xENNE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I cenify that I have examined this permit/application, state that the |/ ormation contained/'land submitted by agent to compilem|dpermit/application itrue
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 nomad with whether specified
herein or not. I understand that the Issuance of this permlVapplication 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 conf ormance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92000397
ISSUED PERMIT DATE= 02/20/92 PAGE= 01
**K*x*******K*x**********x** PERMIT INFORMATION WWW*hx********X*KMN*********
SITE STREET= 13119 E 7TH AVE PARCELO= 22541~1017
ADDRESS= SPOKANE WA 992\6
PERMIT USE= SEWER CONNECTION SOUTH BLAKE (92S-34)
*K* SEE NOTE ***
PL474= 000278 PLAT NAME= 8URCHELL 1ST ADD.
BLDCK= 2 LOT= 5 ZONE= UR -3.5 DISTO= F
AREA [/A= F WIDTH= 90 DEPTH= 138 R/Q=
0 OF BADGE= 0 DWELLINGS= i WATER DIST =
OWNER= HAGSETH PHONE= 509 926 7683
STREET= 53159 E 7TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ALWAYS ACTIVE PHONE NUMBER= 509 922 8580
BUILDING SETBACKS; FRONT= N/A LEFT= N/A RIGHT= H/A REAR= N/A
5(5(365(1(*x*********************K SEWER PERMIT **x*******a***kK*KK****a***a**
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX 545562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 922 8500
QUANTITY FEE AMOUNT
----------
10,00
1 40.00
************K**K***********XK*x PAYMENT SUMMARY ***********kK*)(xh***x*******
PAYMENT DATE RECElPTO PAYMENT AMOUNT
82/28/92 1311 50.08
~--------~-~
TOTAL. DUE= .00 TOTAL PAID= 50.80
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
~~~~------~~~~~ ----~-~~~~~-- ----~~~~~~-- ------~---~~~
SEWER PERMIT 58.80 56.08 .00
----~-~~~~~~- --------~~~~
50.00 50.00 5G.86 .88
DOMITROVICH, ROBIN
8OHITkOVICh, ROBIN
PROCESSED BY:
PRINTED BY:
SEWER STUB AS -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 (456-8688)
EEWER STUBS ARE TO 8 H TOC 4ECTION TO INSURE
THAT THEY ARE CLEAR NUNOBSTRUCTED TO ThE SEWER MAIN
****s**** CALL FOR INSPECTION PRIOR TO COVER *K*******K
**v**x*x* 24 HOUR NOTICE REQUIRED **»*******
********* 456-3604 xx*x****x*
»************m(*)(x********Kv*50»* THANK YOU efx**xx*xx*********)*****MEM**xx***