1992, 05-04 Permit App: 92003030 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
i'?";t.:j?::.. ? NUMBER= 92003030 APPLICATION ..?Al....= 05/04/:'J.... PAGE= 01
S',•i,::t>.';h'?ii?: THIS .i.S N C:i # A PERMIT *,,i.'/t"9t'*9
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT .. PERMIT
SITE: STREET= ? : . r > ,
11TH ( t : 'f 4 :: ? , .
22544-2903
ADDRESS= SPOKANE WA 99214
PERMIT USE=, _.. S?••tL)r•ri CONNECTION t t:l._f L..h.E.:#-t:?...... ? (92E-403)
,,;..i.jt SEE E::..... N.JI I::. it?"' 1;"
PLATO= 002945 PLAT NAME= WOLF?,'WOLFCREST ADD
BLOCK=E t„: •' E ; a; aDIST4. :..
AREA— 00010000 I::' /f.'.}= F WIDTH= DEPTH=
DI�'»�•I"I::::
: -
:
OWNER= HART , CLARENCE PHONE= 509 ':rJ,;• s 6781
STREET= 13509 ?::. 11TH AVE
ADDRESS= SPOKANE ;i[.J# ?f`•i?`.. . c?
CONTACT E'?t:;1`"?::.= ALWAYS PHONE NUMBER=;ER= 509 c;;.:%`..% l:0
BUILDING ' ?::. ? r.e:..:'<::`: : FRONT= N:'r'' LEFT= E'v:'A RIGHT= N/A REAR= N/A
s ,:i 7 ;: 1 1 } : iir :YPAC PFtr } i k in ;„' {1 ° PERMIT ***:*********************** **K
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET— PO BOX 141542 •
ADDRESS= SPOKANE W A 992's
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING I'LL 10„00
:`•E::.LLt ;I?.` CONNECTION
40.00
PERMITTYPE {..t;:.?::. AMOUNT A?"?{„Iy,if':jT PAID AMOUNT OWING
SEWER PERMIT 50. 00 ,i.:'r�� 50. 00
50..00 ..()io 50,00
PROCESSED BY : DOMITROVICH , ROBIN
PRINTED ... `t : .t?!..!?'?]. ? f';!! .'i. _:#..E , ROBIN
;":.E:.;L!?::.R STUB ;.:{S....I;i?_! r.? ? INFORMATION is f•tbr `•?i.'•....t•"•tBL{•':. AT THE I::. f..;t.lt.3?'- Y
DEPARTMENTUTILITIES :
CONTRACTOR !»J?'. APPLICANT IST i.» FIELD LOCATE t-i Yd i 1 CONFIRM THE
'??::. li
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
TO LOCATE BURIED !..:r-i.1:'!...?:.�• tx A=• PIPING: WATER LINES , ECT ,
DIG CALL BEFORE i l: .: t 1'.i." l 4!' .-13000.
SEWER STUBS .i?•.t::. ? �: t;C: CHECKED PRIOR TO c i:i_?!`?t`�7 r•: .?.i.��'v ? +.! .?.t`v;�.i.!I";?::.
THAT, ? '#E'f ARE CLEAR AND UNOBSTRUCTED_ i_i...T HE SEWER MAIN****K**** CALL #'�t.t?'�: INSPECTION PRIOR i R ? ?_! COVER **K*******
***X-***** :::4 HOUR NOTICE REQUIRED *********K
****§**** 454-3604 •1:*•1:"*•f:....1::::x fi'
••••••••”••" ......:":::.x.:;.:c.: '.:.:::'.:t:;.: ::..c.:'.:r. THANK
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