1992, 03-09 Permit: 92000850 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
ttNUMBER= 92000850 ? SStiE►
PERMIT I)HT?::.== 03/09/92 PAGE= 01
. . _
�•ii•its•i!•3r•%�•�r�!•dram!•3r�•ii•it**ii�*�•ri•3c*3i•�!•* ?-`l:.i~:m.I:'r INFORMATION *a!•iii•*its•**au-iE*it#***»•*#?i•ai•3c#*ii•r.
SITE STREET= 13812 I::. 4TH AVE:. PARCEL..-:= 2254i -9128
ADDRESS:::: SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION •- c011TH BLAKE (92E-88)
*** SEE NOTE ***
PLAT0= 999999 PI_.AT NAME= RANGE
BLOCK= LOT= ZONE= A(s R.I D I S r,,.::_
AREA= F/A= F WIDTH== DEPTH= R.'W=
OF BL_I',C;S== i 0 DWELLINGS= i WATER DIST
OWNER=:: KENNEDY, :.JAMES PHONE=
STREET= 13812 E4TH AVE-.
ADDRESS= SPOKANE WA 99206
CONTACT NAME: : I-I & S CONSTRUCTION PHO:NE:: NUi-SBE::F{= 509 926 8964
BUILDING SETBACKS : FRONT N/A LEFT= N/A RIGHT= N/A REAR= N/A
ri**•}t•it•*•)h}{*•}t••A•**A.•*'A* •*P:3t i(**•b:3{a•1{* SEWER F`E::Ft m I T P:•#$:**$:* • k•R•****a>;:** •*•x•*k••r:•r:* a:
CONTRACTOR= I-I & S CONSTRUCTION PHONE== 509 9 .6 8964
STREET= 11817 E:: VAI L..E::YWAY A V E
ADDRESS= SPOKANE. WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
*)i•**iikii•}i•**ii•#.•Yi*##*viii*•M••h:a*** k**•* PAYMENT SUMMARY ii*•**•*** xiia** • •* •*****Rk••h •*
PAYMENT DATE. RECE:LPTO PAYMENT AMOUNT
03/09/92 1533
50
.00
------------
TOTAL_ DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING:
SEWER PERMIT
50,00 50:00
:.00
50,00 50. 00 ,00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT 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.
CALL. BEFORE. YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
+• ••;r** :•n I..flI...l... F'C3F+ INSPECTION PRIOR TO COVER •i ****3 k3
* ****a 2- HOUR NOTICE REQUIRED •3e •*#*****
*•)es:*.k#. 135..••••3604 *•h:•)iii**)lii*•b•
it ii•it 3r*i4 ii ii it*#*x it lr*ii:3!•*it#*•,r****ii ii#** THANK A you