1992, 05-04 Permit: 92002582 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 athorize 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= 920O2582 ISSUED PERMIT DATE= 05/04/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= i330i E 12TH AVE PARCELO= 22544-1519
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - WOLFCRE%T (925-342 )
*** SEE NOTE ***
PLAT4= 000973 PLAT NAME= GEORGE ' S SUB
BLOCK= 155 LOT= ZONE= AG DI%TO=
AREA= F/A= WIDTH= DEPTH= R/W=
� OF BLDF%= 0 DWELLINGS= WATER DIST =
OWNER= WENDY HURT PHONE= 509 922 3898
STREET= 1338i E 12TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= FORD ' S CONSTRUCTION PHONE NUMBER= 509 924 6182
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= FORDS CONSTRUCTION PHONE= 509 924 6182
STREET= 9713 E 4TH AVE
ADDRESS= SPOKANE WA 992O6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---------- �
PROCE%%ING FEE
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
05/04/92 3263 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. 0O .00
PRQQ-��MEP 4 . M�IRR4~mT, H'
un� / v?Cn,
EWER %TUB AS III. INFORMATION I% AVAILABLE AT THE COUNTY
UTIL�TIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAV�TION
TO LOCATE BURIED CABLES, GAJ PIPING, WATER LINES, ECT ,
CALL BEFORE YOU DIG (456-8OOO)
SEWER STUBS ARE TO BE CHECKEDPRIOR TO CONNECTION TO IN%URE
THAT THEY ARE C E R N %T D TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************