1992, 12-03 Permit: 92010617 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
Inertly that l have examined this permit/application, state that the Information contained in itand 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 provlslons of laws and ordinances governing this type of work will be complied with whether specified
herein or nat.l understand that the Issuance of this permltiapplicationand any subsequent Inspection approvals or Certlficates of Occupancy shall not be construed to
giveauthodty to violate or cancel the provlslons of any state or local law regulating construction,or as a warranty of conformance withthe provlslons of any state or local
laws regulating construction.
SIGNATURE OF �)t4 Inj%� APPLICATION /z_3_ v
OWNER OR AGENT /� "' v/ DATE
PROJECT NUMBER= 92010617
ISSUED P'E'RMIT DATE= 12/03/92 ::'AGF
"E**#x#xxx****Of06****Afflf*xxx PERMIT :INFORMATION #xxxxxxxxxxx***x#xxx**1Exxxxx
SITE STREET= 13414 E 5TH AVE PARCEL.= 45224.0704
ADDRESS== SPOKANE WA 99216
PERMIT USE= SEWER HOOK—UF' 925--1206
*** SEE NOTE xxx
PLATO== 002404 PLAT NAME= SOMMER'S ADD TO WOODWARD PARK
BLACK=: 1 LOT= 4 ZONE= GA D:EST,== l=
AREA= F/A= F WIDTH== DEPTH= R; W-
OF ELDGS== 1 4 DWELLINGS== 1 WATER DIST =_
OWNER= WILLMS, MEL.VIN PHONE= 509 922 1657
STREET== 13414 E STH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME== MELVIN WILLMS PHONE. NUMBER= 509 922 1657
BIJIL.DIN( SETBACKS: FRONT== NA. LEFT= NA RIGHT== NA REAR== NA
******#f#****rE#*##******#*xx## SEWER PERMIT '*X#x iEff iEx#xx#x*xrE*#=x*#ltx xx#xx*x
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEC Y 10.00
SEWER CONNECTION 1 40.00
######{s#IEx*x#*wxx*xxxxxxx PAYMENT SUMMARY xxiE*xkeff**iEiE#*Aff*AE* E*#'iEiEx*#1E
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/03/92 697 50.00
TOTAL DUE= ,00 TOTAL PAID= 50.00
PERMIT TYPE FETE' AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PEERMI7 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY: BARRY HUSFLOEN
PRINTED BY: BARRY HUSFLOEN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTIL:ITIE.S DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUD PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIEDD CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-0000)
SEWER STUBS ARE TO BE: CHECKED PRIOR TO CONNECTION TO IN UR
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
x#x##fixxx CALL FOR INSPECTION PRIOR TO COVER x#x*xxxxxx
**#**x**x 24 HOUR NOTICE REQIJIREI) #xx####xxx
********x 456-3604 ** exxx*x**
x#xx*****x######*****Ax********* THANK YOU x'**** *4 **x.x iE****** **.* ***#x#