1992, 08-25 Permit: 92006811 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oom,vmut/hov°vxum/nnxmmpmm/om»vnounon.amtomutmomm,mauonoontamoomuonoovumumuuvmoonnvagentmoomvnooaiuv rmit/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.I 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 as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF '117. 9.epu..e/yL., APPLICATION SV-25/q
OWNER OR AGENT DATE
PROJECT NUMBER= 92006811 I%%UED PERMIT DATE= 08/25/92 PAGE., Oi
*** ******** ********** * PERMIT INFORMATIGN ***** ***** ****************
%ITE %TREET= iO526 E 9TH AVE PARCEL4= 45204 . 1101
ADDRE%%= %POKANE WA 99266
PERMIT USE= SEWER CONNECTION — ULID 8802
*** SEE NOTE ***
PLATO= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= iO LOT= ZONE= UR-3.5 DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDr%= 1 0 DWELLINGS= i WATER DIET =
OWNER= BLACK , TOM PHONE= 509 926 8297
%TREET= 10526 ' E 9TH AVE
ADDRESS- %POKANE WA 99206
CONTACT NAME= JEP%EN ' % PHONE NUMBER= 509 928 0154
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** PERMIT ******************************
CONTRACTOR= JEP%EH %EWER CONTRACTOR% PHONE= 509 928 0154
STREET- 509 % BOWDI%H RD
ADDRE%%= SPOKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10. 00
%EWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUN ;
08/25/92 6910 50.00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50. 00 .00
------------- ------------
50 ,00 50,00 5O.00 .00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% , GA% PIPING' WATER LINE%' ECT ,
CALL BEFORE YOU DIG (456-8000)
%EWER %TUB RE B H T C ECTION TO INJURE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
******** 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
** **************************** THANK YOU *********************************