1992, 04-16 Permit App: 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 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
COMMENCINGPROJECT NUMBER= APPLICATION DATE= 04/16/92 PAGE= 01
PENALTIES WILL BE ASSESSED FOR
13301 E ;
2TH AVE PARCEL4i!= 22544-1519
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — WOLFCREET ( 92E-342)
000973 !.-LAf -i i t"�
i
BLOCK= 1 +:.{. (,...
DISTI DEPTH=ii '�
..
OWNER— WENDY HURT PHONE= 509 922
ADDREgE= SPOKANE WA
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CONTACT NAME= FORD ' S CONSTRUCTIONPHONE NUMBER= .. .... r .':1 ,_.
BUILDING EETBACKE : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
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CONTRACTOR=
STREET= 9713 E 4TH AVE
ADDREEE= SPOKANE WA 99206
ITEM DESCRIPTION fn.NT:ET FEE AMOUNT
PROCESSING hEE 10,00
SEWER CONNECTION (')
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50 , 00 , 00 50 ,00
50, 00 ,00 50 ,00
PkUCESED BY : DUMIMOVICH , ROBIN
PRINTED BY : DOMITROVICH ROBIN
STUB AS—BUILT INFORMATION IS AVAILABLE AT THE OOCNT';'
UTilLifIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT
IS TG FIELD LUC,Aii7. AND UUNI- Ti.,!0
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES, FCT„
BEFORE YOU DIG (.. 456—a000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO TNSURF
THAT THEY ARE CLEAR -' UNOBSTRUCTED
INSPECTION
24 HOUR
.....::!.�.... :.,�:.i
t y i !