1992, 10-27 Permit: 92009386 SewerSPOKANE 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 thelnformation contained in hand submitted by me or my agent to compllesald 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 esa warranty ofconformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER=:: 92009336 ISSUED PERMIT
3344*##Si3 3*3(St#3f3f3F*3*k 3F
...x.u..xu.a. PERMIT INFORMATION 3F33*
SITE STREET== 131'23 E 7TH AVE
ADDRESS=:: SPOI(ANIE. WA 99216
PERMIT USE= SEWER CONNECTION - SOUTH BLAKE (92S--110:3)
*** SEE NOTE x3ta
PARCiLAE== 45221.101A
PLATO== 000270 F'LAT NAME=
.BLOCK= '4 LOT::::
AREA== F'/ A==
F BLDGS= 1 0 DWELLINGS=
OWNER= PANGBURN, DUANE
STREET= 13123 E 7TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= H n S CONSTRUCTION
BUILDING SETBACKS. FRONT== N/A LEFT=
PAGE- 01
BURCHELL 1ST ADD.
4 ZONE=:: UR --3.5 D'TST@e
F WIDTH= DEPTH== R/W=:
5 WATER DIST =
PHONE= 509 924 4831
PHONE NUMBER:::: 509 926 8964
A RIGHT== N/A REAR= N/A
3Fk343F3tii***Shit'Si'=fih##'Sf3I'Sf3F3f3PM'3('H'**** ,SEWER PERMIT ria****3fu***uuu#uu#3t%:Falru MItuuun
CONTRACTOR= H 6 .S' CONSTRUCTION
STREET= 11817 E. VALLEYWAY AVE
ADDRESS= SPOKANE_ WA 99206
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY FEET: AMOLi IT
PROCESSING FEE 'i 10.00
SEWER CONNECTION 1 40 U)
3f4fHii3fSF3f*3f3E3i4f3i3(AKi*%#rf****if4t#*XAX PAYMENT SUMMARY ********************X0******
PAYMENT DATE RECEIPT
10/27/92 9536
TOTAL DUE= .00 TOTAL. PAID::= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 ,00
50.00 50.00 ,00
PROCESSED BY DON'TRCVICrl, ROBIN
PRINTED BY: DOMI TR(:)VI CH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
PAYMENT AMr;NT
00
CONTRACTOR OR APPLICANT IS TO FIELD LOCA'E AND CONFIRM TI-'.""
ELEVATION AND POSITION OF SEWER STUB PRIOR TC ANY OLAEP
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE
THAT THE( ARE C
3Prtlfh3f3f*N3f CALL
3i.lpbt3f.3idt3+at4 2
3f3F#343F3t3f3Fk
3ES34****************
TO BE Jfw.:CKED 'RIOR TO CONNECTION to INSURE'
EAR AND UNOBST"tL.7CTE1) TO THE SEWER MAIN
OR INS'F..:CTION 'RIQR TO COVER ***NOM*
HOUR NOTICE R..QUIRED 3e313fi§+F3e3'3F3f3:
456--3604 a..x.u.rE.x..x 3f3t3e3(
OK Y IlE bF34JFM3t3HErf$ 3e=.