1992, 05-08 Permit App: 92003229 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said 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.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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92003229 APPLICATION DATE= 05/08/92 PAGE= 01
3i'3;'3f3:'3E* THIS IS NOT A PERMIT ***3t3e'3E
PENALTIES WT.LI... BE ASSESSED FOR COMMENCING WORK. WITHOUT 't PERMIT
SITE STREET= 13412 Fi _I.i"I AVE F:r F C:: I...4._.. 22544-15-10
ADDRESS= SPOKANE WA 99216
1
PERMIT USF::::: SEWER CONNECTION .... WlC:!I...EC:RST (92E-447)
*** SEE NOTE •it;i*
PLAT4= 002753 PLAT NAME= VERA
SFR BLOCK=
LOT= i ZONE= I-I D.I:S.T4 =
AREA= 0O000000 I /A= F WIDTH= DEPTH= I"•'./W=
m OF BI._DGS::= 4 DWELLINGS= i WATER DIST =
OWNER= iii t:M T , I:+f•"i:a S A M PHONE=
STREET= 13412 E i i TH AVE
CONTACT! ADDRES ::::: SPOKANE WA 7921 6
CON ACI NAME:::: ALWAYS ACTIVE PHONE NUMBER=:tER== 509 9: s 3t•;);_i
BUILDING SETBACKS : FRONT=" N/A LEFT:::: N/A RIGHT= N/A REAR= N/A
*X:JkX.: 3i**3{'3iN:1{N:3{'3+ii 3k:n•A***•'P:3t•*•X3' SEWER PERMIT
{ 1T 3 3 3 3 3 t i {*3 i ri**p { i ?x*nrireua 3Nua
CONTRACTOR= ALWAYS ACTIVE PHONE:::: 509 92 8500
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 992. 4
ITEM DESCRIPTION QUANTITY F"EE AMOUiN.T.
PROCESSING FEE l 10.00
SEWER CONNECTION •1 40.00
PERMIT TYPE FEE AMOUNT i f"-"-ti`Il:jl_iiyT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50:00
50.00 50,00
PROCESSED SED !:i•Y : DOM.I: R:Ok ICH, ROBIN
PRINTEDBY : DOM1. IROb'1.CH , ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVA.i:L..AEn...E AT THE COUNTY
UT:EI...:F.T:I:E:S DEPARTMENT (456-3604)
CONTRACTOR OR AP'F:rL..Ic:AN.T IS TO FIELD I...?:OC::ATF:: AND CONFIRM THE
ELEVATION A t'N J POSITION O I.: SEWER ! t.f B PRIOR TO t f`,N OTHER
EXCAVATION
TO LO..:A ! ::. BURIED CABLES, GAS PIPING, WATER LINES, ECT ..
CAL.L.. BEFORE:. YOU DIG (456-8000)
SEWER STUBS ARE:: TO BE CHECKED P'F:1.tiC TO CONNECTION .. it INSURE
THAT THEY ARE (:::I..,I:::f=71 Ai'+E`, UNOBSTRUCTED f:OBi ''TF I i:'TE"D Tt: THE SEWER MAIN
'k•*h.' '3t'3i'*'x it: ,;',..:A 1...!. _F'O I't: INSPECTION PRIOR -T C.i COVER 3t:*•i('#''it:'N:'ir.u..y,..i,.
3t•$:3r 3t:3•`.3�:P:3i•3k 4 HOUR NOTICE REQUIRED :k•i;•9!•1t•it 4t.•3L•ri-yR..j(•
N9t H C 9PK34 5^ _3" )4 ******K***
'• ••"* t*••••'1"'1'!1�'} F)t i'ft'@ t ' '! !'!'!ii THANK
•.,. v.:• •Y•, 1• •'...!'h't!'''Y ••'1'S F ! 1 ! !IF ! 1 1
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