1992, 07-07 Permit: 92005027 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHY T_QN,99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in hand submitted by me or my agent tocompilesaid 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 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 es a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF — 7 APPLICATION
OWNER OR AGENT i DATE
PROJECT NUMBER= 92005027
7
ISSUED PET NIT' DATE- 07/07/92 PAGE= 01
***************************3£ PPERMIT INFORMATION a£'1£H'9£#i£k*******************£k
SITE STREET= 13212 E 7TH AVE P'ARiCELO= 45221.1107
ADDRESS= SPOKANE WA 99216
PERNIT USE= SEWER CONNECTION -- IJLID 903 (92S -6E16)
*** SEE NOTE *»u
PLATO== 000278 PLAT NAME= FURCHELL 1ST ADD.
BLOCK= 1 LOT= 2 ZONE= AGRI DISTS== F
AREA= 00012420 F/A= F WIDTH DEPTH= Fi/W==
4 OF BLDGS= 5 4" DWELLINGS= 1 WATER DIST =
OWNER== BLAHUCZYN SIG
STREET= 13212 E 7tH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TLC
BUILDING SETBACKS: FRONT= NA LEFT== NA
*K**********3£3t*K*3£3e****3£3£*3F3£X SEWER PERMIT
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PHONE.= 509 928 4
PHONE NUMBER== 509 927 6760
RIGHT= NA REAR= NA
*******3£******3£*********KK3K3K
PHONE= 509 927 6760
PIOCESSING FEE: Y 10.00
SEWER CONNECTION 5 40.00
****#3£3£*********it***3£********* PAYMENT SUMMARY ***********************#*3(*K
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
07/07/92 5209 50.00
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
PRINTED
BY
BY
JULIE SHATiO
JULIE SHATTO
SEWER STUB AS—BUILT INFC)RMATION IS AVAII..AF.R-E AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TC) FIELD LOCATE AND CONFIRM THE
EI...EVATION 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 CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER ***3e******
******** 24 HOUR NOTICE REQUIRED *****3£****
********* 456-3604 *..*******3e*
*3*************M***************** FHANK YOU **3i********