1992, 05-15 Permit: 92002763 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 withnmooss/no In additionI have reaand 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= 92002 '63 ISSUED PERMIT DATE= O5/i5/92 PAGE= Oi
*********************+****** PERMIT INFORMATION ****************************
SITE STREET= 13415 E 12TH AVE PARCELO= 22544-1520
ADDRESS= SPOKANE WA 99216
PERMIT USE= %EWER CONNECTION - WOLFCRE%T (92%-378)
*** SEE NOTE **+
PLAT4= 00097i PLAT NAME= GEORGE ' S SUB
BLOCK== 2 = 5 ZONE= AGRI F
AREA= OOOOO)OO WIDTH= DEPTH= R/W=
0 OF B; G = WATER DIET =
OWNER= OL%ON , RANDY PHONE=
STREET= 13415 E i2TH AVE
ADDRE%%= %POKA .E WA 99216
CONTACT NAME= ALWAY :: ACTIVE - RON %LOAN PHONE HUMBER= 509 922 8500
BUILDINt SETBACKS : FR ]NT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******** ************0:******* %EWER PERMIT *************************** **
CONTRACTOR= ALWAYS' ACTIVE PHONE= 509 922 8500
STREET= PO BOK 141562
ADDRESS= %POKA4E WA 99214
ITEM DE%CRI`TION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING 10,00
iO.00
SEWER CONNE3TION i 40.00
*************** *************** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMGNT
O5/i5/92 3635 50.00
------------
TOTAL DUE= . 08 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 5O.00 50.00 .00
------------- ------------
50.00 50 .00 5O .00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITRLVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES rEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION PRIOR TG ANY OTHER
EXCAVATION
TO LOCATE IURIED CABLES , GA% PIPING , WATER LINE%, ECT.
CALL BEFORE YOU DIG ( 456-8000)
[
%EWER STUB ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY (:RE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
**** **************:) *********** THANK YOU *********************************