1992, 03-17 Permit App: 92001592 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oomfymut/haveoxummonm/onmm/vupvnvuoon.mutomuuhumm,mouonvonmmoum/tunooubm/uouuvmoonnvagentmoomnnooumn rmit/application is true
and correct, and authorize Spokane County to proceed with nmooss.nn 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
PROJECT NUMBER= 92001592 APPLICATION DATE= 03/17/92 PAGE= 01
****** THIS I% NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
. ������������������������������������������������������������������� ����
SITE STREET= 13518 E 16TH AVE PARCEL4= 27541 -1030
ADDRESS= SPOKANE WA 99206
PERMIT USE=_SEWER CONNECTION - WOLFCRET (92%-21 )
*** SEE NOTE ***
PLAT4= 002753 PLAT NAME= VERA
BLOCK= 191 � LOT= ZONE= UNK DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLIN %= i WATER DIST =
OWNER= FULLMER , PADDY PHONE= 509 926 3315
STREET= 13518 E i6TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= PADDY FULLMER PHONE NUMBER= 509 926 3315
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ********************* *** ****
CONTRACTOR= OWNER PHONE=
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10 ,00
SEWER CONNECTION i 40 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50 .00 .00 50 .00
------------- ------------
50 ,00 „.00 50.00
RROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
SEWER _STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% 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 CABLE% �A% PIPING , WATER LINES , ECT .
CALL BEFORE YOU DIG ( 451-8OOO )
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 **********
********* 456-3604 **********
******************************** THANK YOU *********************** *********