1992, 10-27 Permit: 92009367 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 eISOADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, statethat 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. l understand that the issuanceof this permit/application and any subsequent inspection approvalsor Certificates of Occupancy shall not beconstrued to
give authority to violate or cancel he provisionsof any stateor local law regulating construction, or as a warranty of conformance with the provisions of any stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92009367 ISSUED PERMIT
a####i{####i{###aa######iF#iFaa'# PERMIT 1NFORMAT:1C
SITE STREET== 13124 E 7111 AVE
ADDRESS= SPOKANEE. WA 99216
PERMIT USE: SEWER CONNECTION - SOUTH BLAKE (92S--1093)
##iF SEE NOTE #i{#
PLATO== 000278
BLOCK==
AREA=
OF BLDGS=:: 1
PAGE= 01
iFi{i{i{iF#iF tie##i{ii
PARCEL_"= 4522A.1104
PLAT NAME-: BURCHEL_L. 1ST ADD.
ZONE(- Uid-3,9 DTS'T:"=..
L -/A= F WIDTH== DEPTH==
DWi=L_L_INCS 1 WATER DIST =
OWNER= SVOBODA
S'Tl:iii: Iii:T== 13124 E 7TH AVE
ADDRESS= SPOKANE WA 9421
CONTACT NAME= RON SLOAN
BUILDING SETBACKS: FRONT= N/A LEFT,:= N/A
******/(4)******************* SEWER PERM1
CONTRACTOR'- ALWAYS ACTIVE
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PROCESSING FEE:
SEWER CONNECTION
ifit)ax.::p x.
PHONE=
PHONE NUMBER=t 509 222 M900
RIGHT= N/A REAR= NiA
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QUANTITY
1
PHONE:::: 509 422 850C
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YMENT SUMMARY iF){ieaaF&#defftK#i{#d#*h4, l{N,iiHFiF ){
PAYMENT DATE RECEIPTPAYMENT AMOUNT
10/27/92 9509 50.00
TOTAL. DUE.. -.00 IOTA... PAID := 50.00
PERMIT TYPE. FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT %0.00 50.00 .00
50.00 50.00 -00
PROCESSED BY: DO
PRINT:D BY: DO
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SEWER STUB AS -BUILT INFORMATION IS AVAILA1ii AT TF CGJNT"
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM "iii°
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)
S'iii:Wd:R STUBS ARE:: TO BE: CHECKED PRIOR TO CONNECTION TO INSLRE'
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
4)44))e###a# CALL. FOR INSPECTION PRIOR TO (]OVER Ka###iF#waif
#i{##iFVj{i{# 24 HOUR NCITICiE. REQUIRED #i{i{#*ff s{i+#i{
**mit*** 456-3604 i{m#iehttaKvi{
##H#iF#a KK ###i{i{i{####iffy iF iti Kii#ii#iF i(#iF THANK YOU #=n##iei=#i{i{