1992, 10-14 Permit: 92008872 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
w.1103 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 Sokane Conty 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= 92008872 I%%UED PERMIT DATE= 10/14/92 PAGE= Oi
*** ********************** PERMIT INFORMATION ****************** *********
SITE STREET= 12509 E 26TH AVE PARCELO= 45273. 0116
ADDRE%%= %POKANE WA 99216
PERMIT U%E= SEWER CONNECTION - HILLCRE%T (92%-1041 )
*** EEE NOTE ***
PLAT0= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR-3 .5 DI%TO=
AREA= F/A= F WIDTH= DEPTH= �/W=
4 OF BLDG%= 0 DWELLING%= i WATER DI%T =
OWNER= NOLL DAVID PHONE=
��
%TREET= 12509 E 26TH AVE
ADDRE%%= %POKANE WA 99216
CONTACT NAME= ALWAY% ACTIVE PHONE NUMBER= 509 922 85OO
BUILDING %ETBACK% : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************* ********* %EWER PERMIT ************** ***************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
%TREET= PO BOX 141562
ADDRE%%= EPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMGUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 , 00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIP AYMENT AMONT
10/14/92 8999 50 . 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER PERMIT PERMIT 50. 00 50 .00 . 00
------------- ------------
50,00 50. 00 5O. 00 . 00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
EEWET ETUB AS-BUIL (' IE AVAILABLE AT THE CGUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATIGN AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIG (45 -8000)
SEWER %TUB% ARE tu BE CHECKED PRIG TO CONNECTIGN TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************