1992, 03-10 Permit App: 92001404 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,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= 92001 404 APPLICATION DATE= 03/10/92 PAGE= 01
***tie*tic THIS IS NOT A PERMIT •*
PENALTIES WILL. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13420 EE Ii tH AVE i 6t_:E:.L• —' 22544-1314
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION .._ WOLFCREST (92S-170)
*** SEE NOTE ***
F:=i_•AT0= 002753 PLAT NAME= VERA
BLOCK= ;._OT= ZONE= SFR DI TO=•
AREA= 0"i01000000 F/A= I::• WIDTH= IiE::F DEPTH= E..°;'�,.i-::
•x' OF .BL..DGc.'•- I i. DWELLINGS= WATER DISI_ =
OWNER= MUT+�CH, D R PHONE=
S T icE.is T i : 4A ' E i •i TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME::::: I_I & : CONSTRUCTION PHONE N . MBER= 509 926 8964
EtU:F.i_.1i:CNG SETBACK =RONT:::: N/A LEFT== N/A RIGHT= N/A REAR::- N/A
7t'H:4?•tie•3l•tie'Y4*ik iF•*ti{•M A tik tik tit*P:•tik Jh tik A:i{•*M'tie•'p:til SEWER PERMIT 'R•A:tit*tik ik•M''iM A)e'•ik tir tik F'N:*P:*P:9k'i{'A'9•:**•A:4k P:•A:9L'
CONTRACTOR= H , CONSTRUCTION PHONE:::: 509 ?; 6 8964
STREET= 11817 E:: t r7i...LE::YWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE `r` 10„00
SEWER CONNECTION i 40,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.010 ..00 50,00
50.00 ,00 50.00
PROCESSED BY : DOMITROuICH . ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER SIii AS—BUILT I INF"OEcMATIO IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR O R APPLICANT I S TO FIELD LOCATE A N D CONFIRM T H E
ELEVATION AND POSITION IT:FON OF. SEWER STUB PRIOR TO ANY OTHER
Hi
EXCAVATION
TO LOCATE BURIED CABLES,'. , CYAS PIPING, WATER LINES, ECT .
CAL.i... BEFORE YOU D:EG (456-8000)
SEWER STUBS A R E TO BE CHECKED PRIOR T O CONNECTION iO
. U R E
THAT THEY ARE CLEAR AND UNOBSTRUCTEDCO THESEWER MAIN
i tie j,•n:'ie tie•)i tie'* CALL i=•O F• INSPECTION PRIOR '(•O COVER *•i,;)i•>k*h:.ii..p..X.u.
HOUR tie•ti�•lk N•tie•�+:�r.•N•�+• a•'�� t.1 I.i F; NC•1TI.i:I:_ REQUIRED *•ri•**Orsi•*•si•ii•H•
tie* ri•N:'ie••N:'N:tit 456-3604 ii....ii.ik v4 is'h:*
*'i}*'h:*.r::N:*tie'tie''i,:';•:*tie tit tii tit•**tie''•r.•tie•**tiE tie tiE tii:K''r.'* THANK YOU tie•*****1!'it k it*it•ai•if'n:*it it it*:R:N'*#***i •i,:•x•**fir'