1992, 09-14 Permit: 92007541 Sewer SPOKANE COEPARTMENT 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 correctand authorize Sokane Conty to proceed with processing. In addition, I have read u understandm 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= 92007541 I%%UED PERMIT DATE= 09/14/92 PAGE= Oi
**************************** PERMIT INFGRMATION **************** ***********
SITE STREET= 13503 E 16TH AVE 224 . 2574
ADY)RE%%= %POKANE WA 99206
PERMIT USE= SEWER CONNECTION — WOLFCRE%T (92%-906)
*** SEE NOTE ***
PLATO= 002753 PLAT NAME= VERA
BLOCK= 180 LOT= ZONE= UNK DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= WATER DIST =
OWNER= BROWN, CLYDE PHONE-i. 509 924 0341
STREET= 13503 E 16TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & % CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
* ************************* %EWER PERMIT ******************************
CONTRACTOR= H S CONSTRUCTION PHONE= 509 926 8964
STREET= 118i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------- ------------- -------- ----------
PROCEIHia FEE Y 10. 00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/14/92 7641 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50. 00
FERMI ' TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50. 00 .00
------------- ------------ ---------- —
5O.00 50. 00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER STUB A%—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 : GA% PIPING, WATER LINES , ECT ,
CALL BEFORE YOU DIG (45"-8OOO)
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 **********
***** *** 456-36O4 **********
******************************** THANK YOU *********************************