1992, 09-16 Permit: 92007679 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that t have examined this permlVapplication.state that the Int ormatlon contained In It nd submitted by me or my agent tocom pile said permit/application is true
and correct. and authorize Spokane County to proceed with processing. In addition. l h ve read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. AMI provisions of lawsand ordinances governing this type of work will be complied with whether specified
herein or not 1 understand that — ssuance ofthls permittapplicationand any subsequent in pection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancelth. •rovisions of any stateor local law regulating construct) n. orasa warranty olcon'ormence with the provisions of any stateor local
laws regulating construction.
SIGNATUREWAG �, ` APPLICATION 9/ u(o(52 -_
SIGNAR AGENT
PROJECT NUMBER= 92007679 ISSUED PEF NIT DATE= 09/16/92 PAGE- 01
**********i£***K************* PERMIT INFORMATION'#'#'#1£'S£.5£5£ki£i£Mifuf£IFi£i£r£k#i£r£i£1£ii3£3£4
SITE STREET= 13623 E OTF1 AVE PARCELC= 45221.1339
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- ULII) 914 (92S-977)
*** SF_F NOTE ***
PLATO= 001669 PLAT NAME= MOORE'S SURBURBAN HOMES ADD
BLOCK= 4 LOT= 16 LONE= UR -3.5 DIST:=
AREA= 00000000 F/A= F 4IDTH= DEPTH="
OF a)i_DGS= 1 : DWELLINGS= 5 WATER DIST
OWNER= I(ETTLESON, GENA PHONE=
STREET== 13623 E OTH AVE.
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD PhONiE NUMBER= 509
HL)ILDIN(, SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR== NA
*************************i*** SEWER PERMIT '#'#H'#'#"#'##')£3£#')£i{ {F i4if r4{4 {Ei£#i£{£i£r£i£1£it
CONTRACTOR=: H n S CONSTRUCTION
STREET== 11817 E VALLEYWAY AVE
ADDRESS= ,SI°'OI(ANE. WA 99206
ITEM DEi:SCRIPTION
PROCESSING FEE:
SEWER CONNECTION
PHONE= 509 926 8964
GUANTI:TY FEE. AMOUNT
Y 10.00
1 40.00
*u£{£*#"a£3£x'x'*#'n'%3E*****X*****%#'u'K% PAYMENT SUMMARY********#****KA#i£#**i£i£i£1£i£#i£#
PAYMENT DATE RECEIPTF. PAYMENT AMOUNT
09/16/92 7772 50.00
TOTAL DUE:: .00 TCTAL.. PAID= 50.00
PERMIT TYPE FEED AMOUNT AMOL NT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY JULIE SHATTO
PRINTED BY .JULIE SHATTO
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE. COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) CONFIRM THE
ELEVATION AND la'OS'ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE: BURIED CABLES, CAS PIPING, WATER LINES, ECT,
GALL BEFORE YOU DIG (456-8000)
SEWER .STUBS ARE. TO BE: CHECKED F RICK TC) CONNECTION TO :INSURE
7i-iAT "IHi:::Y ARE:{ CI_FAR ANA LINDBSTI'UC'T ISD 70 7HIE SEWER MAIN
******f£** CALL rOk INSPECTION FRIOR TO COVER **********
***no**'* 24 HOUR NOTICE REQUIRE() K'SE'#K*'#**#'Su
********* 456-3604 **********
******************************** THANK YCLI***##*#***5£**'SE'******#'#i£***#1£*#'#*K