1992, 04-15 Permit: 92002417 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 mu. n n � v
and correct,and avmn�ma kCounty to proceed with processing. In / haveINSPECTION TS/NOTICE
—�/-true
provisions included herein and agree to c• ply 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 issu ce.f this permit/application and any subse•uent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the• ns of any state or local law regulating • struction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF ^� ~-7 APPLICATION
OWNER OnAGENT ��,�,�°�..^ �' ��~�"~ DATE S^ - 9
PROJECT NUMBER= 920241 7 ISSUED PERmIT DATE= 04/1 5/92 F'AGE=' 0i
* * * ********************** PERMIT INFGRMATION ***************** *********
SITE STREET= 13619 E 20TH AVE PARCFLO= 27541 -H32
ADDRESS= %PGKANE WA 992i6
PERMIT U%E= %EWER CONNECTION - WOLFCRET
*** EEL NOTE ***
PLATO= OOOOOO PLAT NAME= UNKNOWN
BL K= L T= ZONE= UR-3. 5 DI%T4=
AREA= F/A= F WIDTH= 125 DEPTH= 150 R/W=
� OF LD1;%= 2 4 DWELLING%= i WATER DIET =
OWNER= PERKINS, DENNIS N PHONE= 509 928 1339
%TREET= 13619 E 201H AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DENNIS PERKIN% PHONE NUMER= 5O9 928 � 339
BUILDING %ETBACK% : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************** ******* SEWER PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10 ,00
%EWER CONNECTION i 40.00
******************************* PAYMENT %uMmARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/15/92 2737 50.00
TOTAL DUE=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 5O .00 . 00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : WENDEL , GLORIA
%EWER UB A%—BUILT INFORMATION I% (n.,VAILA�LE AT THE COUNTY
UTILITIE% DEPARTMEN� ( 456-36O4 )
CONTRACTOR OR APPLICANT Ig TO FIELD LOCATE AND CGNFIRM �HE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS_ PIPING , WATER LINE% ,
,f. 456-8000) ECT .
CALL BEFORE YOU DIG 45�-G�OO)
SEWER STUBS ARE TO 3E 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 ;OU **************** ***************