1992, 01-13 Permit: 91008030 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
,:
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SITE STREET- 12418 E i9TH AVE
ADDRESS- SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — HILLCREET 49201 ( 91 —EW.3)
DWELLINGS=
OWNER= BROWN . DOROTHY PHONE- 509 924 6457
ADDRESS- SPOKANE WA 99216
CONTACT NAME= ALWAYS ACTIVE — RON SLOAN PHONE NUMBER- 509 922 501.1:fr
BUILDING SETBACKS : FRONT- NSA LEFT., N/A RIGHT- N/A REAR- N/A
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CONTRACTOR- ALWAYS ACTIVE PHONE 509
STREET- PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEES AMOUNT
PROCESSING FEE 10 , 00
SEWER CONNECTION 40 , 00
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
01 /13/92 0229 50 , 00
................................................
TOTAL DUE- „00
TOTAL
:
PERMIT TYPE ::••t.,,(;.- AMOUNT AMOUNT PAID f'[i iU :! , OWINO
SEWER PERMIT 50,00 50,00 , 00
50,00 s
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVATi APIE AT THE rnliTy
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFXRM_ THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, FCT ,
CALL BEFORE YOU DIG ( 456-8000 )
SEWER STUBS ARE } ! BE CHECKED PRIOR TO...CONNECTION TO JNEURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED lu THE SEWER MAIN
:Hf:*** *** CALL FOR INSPECTION PRIOR TO COVER :ii::Vg:* K***
24 HOUR NOTICE REQUIRED
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