1992, 03-19 Permit: 92001684 Sewer SPOKANE COUNTY DEPARNENT OF BUULDUN.AS
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 complysame.All provisionsof— and thisof will complied with whether specified
herein or not]unde��nd that�e�s�nce��� rm/ l��/on and any subsequent inspection app��/s��Ce�/nc������a6shall not Le����ed�o
o*oau�o��m./o/moo,cancel mopm"/omnnmany�������law regulating construction,oraa a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE or �� [/ xPPL|CAT|ow ��- ,/�� ��—.
ovvwsROnAGENT 62tifuL ��' DATE
^-^^^��
PROJECT NUMBER= 92001684 ISSUED PERMIT /i9/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE STREET= i1515 E 16TH AVE PARCEL4= 28544-9136
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — DRY LINE ONLY (925- Z2-S)
*** SEE NOTE ***
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR-3.5 DI%T4=
AREA= F/A= F WIDTH= iOO DEPTH= 125 R/W=
4 OF BLDG%= i 0 DWELLINGS= i WATER , DIST =
OWNER= OL%ON, CLARE D PHONE= 509 924 4078
STREET= 11515 E 16TH AVE
ADDRESS= %POKANE WA 99206
CONTACT NAME= CLARE OL%ON PHONE NUMBER= 509 924 4078
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT *******)***********************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATF RECEIPTO PAYMENT AMOUNT
03/19/92 1873 50.00
------------ �
TOTAL 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 .00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
SEWER STUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATTON AND PO%ITION OF ':—.71-IFP %TUB PRIOR TO ANY OTHER
EXCAVA�ION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456—G000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ************ * **** ************