1992, 10-19 Permit: 92009045 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 anyst. 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 dS/�' -�/
PROJECT NUMBER= 92090.5 ISSUED PERMIT DATE-: 0./19.•'92 PAGE= Oi
**•h*ii•*ai****it*****•***it•***•*•}i•a* PERMIT INFORMATION *ai•iiii****ii *ien*3i• •#3i•r:*3rii•:.•ii••x* k
SITE STREET= i290 r::: ;24TH AVE:: FARCE1.. = 45;273.0207
ADDRESS:- SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -•• H]:l...!_.k.RE::ET (92E-1067)
*** SEE NOTE.. •**
F:'L-A Ta:= 001223 PLAT A f rvFaiySE.=:: h•iTi...!_C::fiE::Gy ( ACRES '.N: ADD
BLOCK= LOT= 7 ZONE • AGSUB DIST:;;== F
AREA= 00000000 F /A= i' WIDTH= DEPTH= (1:;'wi-: r:,r:,
0 OF BLDGS::= 0 DWELLINGS= i WATER DIST ==
OWNER= GOEHNER, ARTHUR PHONE= 509 927 8256
STREET= 1 2902 F L'4TH AVE
ADDRESS=:: SPOKANE WA 99216
CONTACT NAME= TRIPLE: S PHONE: NUMBER= 509 9:2.7 8256
BUILDING SETBACKS : FRONT= N/A LEFT= N/A N/A
RIGHT== N/A REAR=
ii9l•h*P: •*:M•*3{ •i(9l*3L•i{••k•K•.j¢3l*T''A.•a#**ik* SEWER PERMIT *•'Jt•M•****it•it****•A.•***7t****'P:•ll****F:•*
CONTRACTOR== TRIPLE S CONTRACTING PHONE== 509 927 8256
STREET= 11322 E:: BROADWAY AVE
ADDRESS:::: SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEF.:: AMOUNT
----------
PROCESSING FEE 'Y` 10.00
SEWER CONNECTION 1 40.00
ri• R •***ii1i* •i{**ii*i@****i{*•}i••p:•***** PAYMENT SUMMARY ii*********iiii*•***•*******•*a •t
PAYMENT DATE FECEIPTb: PAYMENT AMOUNT
10/19/92 91 90 50.00
------------
TOTAL DUE: .00 TOTAL PAID= 50.00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
-------------
SEWER PE.RMIT 50.00 50.00 .00
50..00 50.00 .00
PROCESSED BY : DOHITROVICH , 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.
LL..:
CABEFORE YOU DIG (456-8000)
SEWER STUBS
TUB AETO BECHECKED PRIOR TO CONNECTION TO
i
NS I'E
^H= 1 THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEW`R MAI `
**x•;;:N:***u CALL r O Ft: INSPECTION PRIOR I a V':.R •a•******;k u•
•n•***i'••r.• r:•:u 24 HOUR NOTICE REQUIRED *it• •** • • •* :
*****b•ri** 456-3604 •x•*•n:•an:*.x..x*x
**i6ri*•n.ii•••r.••ii i n•af•icie•r••»• • •#•it• : :*****k***• • THANK Y O1..i ir**•}r****•xi!***** ************•r.••r:,t*