1992, 02-11 Permit App: 92000754 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 982G0
(50g)456'3675
1 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 authorizen County with processing, In addition, / have read and understandm /mapscrmwnsou/nswswrum/or/os
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 shallnot be constwed to
give authority to violate orcancel 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 onAGENT DATE
PROJECT NUMBER= 92000754 APPLICATION DATE= 02/i1/72 PAGE= Oi
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
%ITE STREET= iO7O3 E 27TH AVE PARCELO= 28543-3624
ADDRESS= SPOKANE WA 99206
PERMIT UjE= SEWER CONNECTION — HILLCRE%T (92%-79)
*** SEE NOTE ***
PLATO= 00i393 PLAT NAME= KGKOMO TOWN%ITE
BLOCK= 36 LOT= ZONE= AGRI DI%TO= F
AREA= 00000003 F/A= A WIDTH= DE�TH= R/W=
0 OF BLDG%= 0 DWELLINGS= i WATER DI%T =
OWNER= KEEVY, RUM"'PHONE= 5O9 928 4758
STREET= iO7O2 E 27TH AVE
ADDRESS= %POAKNE WA 99206
CONTACT NAME= %IMP%ON %ANITATION PHONE NUMBER5O9 926 478i
BUILDING SETBACKS: FRONT == N/A LEFT= N/A RI�HT= N/A REAR= �/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR= %IMP%ON %ANITAl
PHONE= 509 926 4781
STREET= 7812 E BALDWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE
AMOUNT
------------------------- -------- -------------
PROCESSING FEE Y
iO.00
SEWER CONNECTION i
4O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT
OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.80 .00
------------- ------------ -------------
50.0O
50.00 .00
50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A%—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 PIPINGWATER LINES,
'
ECT ^
CALL BEFORE YOU DIG (45-88OO)
'
SEWER STUBS ARE TO BE 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 YOU *********************************