1992, 09-25 Permit: 92008111 SewerSPOKANE COUNTY DEPA^ MENT OF BUILDINGS
W.1303BROADWAY AVENUE
SPOKANE, WASHINGTON SB2G0
(509) 456-3675
1 certify that I have examined this permit/application, state that the information contained in it and submitted uy me or my agentm compile said permit/application is true
and correct and aMoke Spokane County to proceed with prowning"n 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 ofthis permit/application and any subsequent inspection appmvah or CertificaWs of Occupancy shall not be construed to
give authority to violate orcancel the provisions of anystate or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92008iii ISSUED PERMIT DATE= 09/25/92 PAGE= %
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13802 E 4TH AVE PARCEL*= 4522i.9i39
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — SOUTH BLAKE (92%-970)
***
SEE NOTE ***
PLATO= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK-.:-- T= ZONE= AGRI DI%T*=
AREA= F
R = 000iO000i00%��A= F WIDTH= 65 DEPTH= 154 R/W=
0 OF BD= 3 0 DWELLINGS= i WATER DIST =
O N =YBAL MALE PHONE= 800 OOO 0000
STREET= 862 9 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ARMSTRONG CONSTRUCTION PHONE NUMBER= 509 928 0559
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR= ARMSTRONG CONSTRUCTION PHONE= 509 928 0559
STREET= P O BOX 14282
ADDRESS= SPOKANE WA 9904
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ------------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 4O.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
O9/25/92
TOTAL DUE=
RECEIPT4!: PAYMENT AMOUNT
8229 5O.00
------------
.00 TOTAL PAID= 5000
—'— PAID '--''— ~'-`''
PERMIT TYPE FEE AMOUNT AMOUNT PA1� HMUV�| uw�nG
--------------- ------------- ------------ -------------
%EWER PERMIT 50.0111) 50. 00 .00
------------- ------------ ---------------
50. ok.) 50.0O .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED ~ GAS PIPING, WATER LINES, ECT.
CABLES,
��L����'^R�~:^�~DfG �456—�^OO\-' -'�-' '�� — -- --' ��
E YOU
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AN %TRU D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU **************************"
-~--_-