1992, 08-06 Permit: 92006165 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
permit/application,/com/vmut/ha,00vammnom/, ammmmmomm,muoonoonmmoumusubmittedor agent permit/application
and correct, andauthorizeo x County m ceed with processing. In additionI 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
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permit/application or I understand that the and anysubsequent/ ��m approvalsn,om���m��v�
''give '�th'�-to����,�a��i��e 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 oFAPPLICATION �_,� �� � �
ovvwEnonAGENT a�ww� «p°� ly DATE ^x�** �� ^~~
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PROJECT NUMBER= 92006165 I%SUED PERMIT
**************************** PERMIT INFORMATIGN ****************************
SITE STREET= 12414 E 26TH AVE PARCELO= 45273. 2902
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - EVERGREEN (92%-786 )
*** SEE NOTE ***
Pi A T = OOi 3O PLAT NM F= I. =ACR % 7T D = F
BLOCK= 00012..333O �u � = F �W����= ^r90 DEPTH= 137 R/W= 40
4 OF B; G = i 0 DWELLINGS= i WATER DI%T =
OWNER= MILLER ROBERT A. PHONE= 509 922 6525
STREET- 124i4 E 26TH AVE
ADDRESS- SPOKANE WA 99216
CONTACT NAME= BOB MILLER PHONE NUMBER= 509 922 6525
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 %uMMARy ****************************
pAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/06/92 6259 50. 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------
SEWER PERMIT PERMIT OO
________5O�OO _______50,OO __________�
50 .00 50.00 . 00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITRGVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% 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)
%EWEE< %TUBs ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
****** * CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REAUIRED ****** ***
**********
******************************** THANK YOU *********************************