1992, 03-26 Permit App: 92001878 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 canny that I haveexammed this peract application, State thatthe Information contained in hand submitted by me or my agent
and correct, and authorize Spokane County to proceed with processing. In addition,I have read and understand the IP
provisions Included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work
hereinornotl understand that the Issuance of this permit/application and any subsequent Inspection approvals or Certificate
give authority to violate or cancel the provisions of any state or local law reg aleft ng construction, oras a warranty of conforman,
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92001878 APPLICATION DATE= 03/26/92 F'AGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL. BE.: ASSESSED FOR COMMENCING WORK WITHOUT A F°E:RMTT
SITE:: STREET= 13405 Ei. 10TH AVE PARCEL.?= '2544--i05-A
ADDRESS= V'ERADAL_E WA 99037
PERMIT US'E= SEWER CONNECTTON -- WOLFCREST (925-255)
*** SEE NOTE ***
FI AT'= 002404 PLAT NAME ::= .SOMMER'S ADD TO WOODWARD PARK
BLOCK= 4 LOT= 12 ZONE= SFR DIST4= 1=
AREA= 00000000 F,'A= F WIDTH= DE:PTl RiW=:
A OF BI 4 DWELLINGS= i WATER DIST =
OWNER= BARLOW, DB
STREET= 13405 F iOTH AVE
ADDRESS= VERADALE WA 99037
PHONE=
CONTACT NAME= H S E CONSTRUCTION PHONE NUMBER= 509 926 6964
BUILDING SETBACKS: FRONT= I LEFT= N/A RIGHT:= I REAR= N/A
***************************
SEWER PERMIT ******************************
CONTRACTOR= H h S CONSTRUCTION PHONE= 509 926 8964
STRE:.ET= 15857 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
P'ROCESS'ING FEE Y i0.00
.SEWER CONNECTION S 40.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
________ ______________.-. ------------- _.____--___-_._
S'EWE:R PERMIT 50.00 .00 50.00
-------------
50.00 .00 50,00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER S1'LIB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR AP'P'LICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF .SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT. YOU DIG (456-8000)
SEWER STUBS ARE TO BE: CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND LJNOBSTR13CTED TO THE SEWER MAIN
********* CALL_ FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456--3604 **********
******************************** THANK YOU *********************************