1992, 04-20 Permit: 92002580 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
PROJECT NUMBER= 92002580 ISSUED PERMIT DATE= 04/20/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12402 E 19TH AVE PARCEL4- 27542--2138
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - HILLCREST (92S-346)
*** SEE NOTE ***
PLATO= 000000 PLAT NA E= UNKNOWN
BLOCK= LOT= ZONE= UR-3.5 DIST;= F
AREA= F/A= F WIDTH= 125 DEPTH= 110 R/W=
4 OF BLDGS= 4 DWELLINGS= 1 WATER DIST
OWNER= FLORY, DELBERT W PHONE= 509 926 6350
STREET= 12402 E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DELBERT W. FLORY PHONE NUMBER= 509 926 6350
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/20/92 2896 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
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vomfymut/xvvooxummoom/operm/Vu»pnvuuon.vtummunhomm,mat/vnuontamoomxunuoubmutou»vmoonn/agentmcvm»neoaiun rmit/application is true
and correct, and authorize Spokane County to proceed with »roumamn In additionhave 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= 92(,,02580 APPLICATION DATE= 014/i6/92 PAi;E= 01
****** THI% I% NOT A PERMIT ******
PENALTIE% WILL BE A%%E%%ED FOR COMMENCING WORk WITHOUT A PERMTT
• �
%ITE %TREET= 12402 E 19TH AVE PARCEL-4= 27542-2138
ADDRE%%= %POKANE WA 99206
PERMIT U%E= %EWER CONNECTION - HILLCRE%T ( 92%-346)
*** EEE NOTE ***
PLAT4= OOOOOO PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR-3.5 DIJTO=
AREA= F/A= F WIDTH= 125 DEPTH= 110 R/W=
4 OF BLDC%= 4 DWELLING%= i WATER DIET =
OWNER= FLORY , DELBERT W PHONE= 509 926 6350
%TREET= 12402 E 19TH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= DELBERT W. FLORY PHONE NUMBER= 509 926 6350
BUILDING EETBACKJ : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
************** ************** %EWER PERMIT ******************************
CONTRACTOR- OWNER PHONE=
ITEM DE%CRIPTION RUANTITY FEE AMOUNT
------------------------ -------- ----------
PROCE%%ING FEE Y 10 .00
SEWER CONNECTION i 40 . 0,0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 . 00 50 .00
------------- ------------50, 00 ,00.O0 50 . 00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH . ROBIN
%EWER %TUB A%-GUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM T*F
ELEVATION AND PO%ITION OF %EWER %T;B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED f7,A% PIPINc , WATER LINE% , ECT .
|
CALL BEFORE YOU DIG ( 456-8000 )
%EWER %TUB% ARE TO BE CHECKED PRIOR TO C NNECTION TC INURE
THAT THEY ARE CLEAR UNOB%TRUCT D TO THE EEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
* ******* 24 HOUR NOTICE REAuIRED **********
********* **********
******** *********************** THANK YOU *********************************