1992, 06-11 Permit App: 92004223 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
P F';CT:.li::.C;T NUMB 9 :004::`.::.:.1 APPLICATION DATE= 06/11 /92 PAGE= 0.
3 ). ...it• THIS S NOT t: PERMIT )..
it tr•t i!••a!• .�.S NOT .! •,:�-**ii*
PENALTIES WILL BE: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE E:: :> 1 REE::T= 14510 E:: 18TH AVE r`r•AF C::E::i... : 45262. 9041
ADDRESS=55:::: VERADAI...F WA 99037
PERMIT USE= SEWER CONNECTION .... WOt..F:C:RI:" T (925_-.594 )
*u•i: SEE NOTE. *r;*
F''L..(•'.l L:p::::: 999999 PLAT NAME= RANGE:
AREA=BLOCK= LOT= ZONE= SFR DIST4=
00000000 0 F WIDTH=ii DEPTH= %L.i=
OF Bi._DGS:::: .i DWE:i...'I...:i t isYS= q WATER. r ;T =
OIWNE::R:::: Hri�.!L..L.E:: i.T , SENORA PHONE=
510 E 18TH AVE
ADDRESS= V::.RADAL..E WA 99037
CONTACT NAME= ALWAYS ACTIVEPHONENUMBER= 509
09 922 8500
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A AR : N/A
is x iG a:i>*ii p:A.*.u..)t k k h:if:n•t*n:it•N; is is tc SEWER i P:..?f'S p:.*u.i,..p:*n:n.n$:***>;:ii n:ik.),.i,. •ri•'a;k k:ii ii i{*n*
CONTRACTOR= ALWAYS' A T 922} 85,` ..
STREET= i::'Ci BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING ING FE::E r` 10.00
SEWER CONNECTION •i 40..100
PERMIT TYPE FEE AMOUNT AMCiUN.T PAID AMOUNT OWING
SEWER PERMIT SO.00 ..00 50.00
50 00 .00 50.00
PROCESSED BY : DONITROVICH , ROBIN
PRINTED BY : DONITROVICH , ROBIN
SEWER STUB AS—BUILT INFORMATION ISAVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR ORr� APPLICANT IS TO FIELD LOCATE:: AN CONFIRM THEI:ELi
ELEVATION r'1iwr POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS P:[F'3:NG , 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
*•a••N:*N:*-n:n:-a- CALL F:'O R INSPECTION PF;.'.IOR 'T'O COVER it is•)i ii•*•b;-R**
fr•n•*ir •ti *** 24 HOUR NOTICE REQUIRED iriEiei~irii•****
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i!•i�.:Pi•Pi*•}i•N'?!•Nr 4.7 ti.... .�i t f 4 R-*-P:it..P:'7C-!k iC-P:*
-p'P.-i!'*p•r•it•p*.1 it•ii*ii•*:K-fi:* :*i(-iE r'i;-ik ii*ik ii-i'** THANK till W i **a **3F ihMAiik E iiii **» t ii *a t *»
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