1992, 07-23 Permit: 92005628 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKIAwE.WASH|NGTON 99260
(509) 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 permit/applicationis true
and correct, and authorize Spokane County to proceed with processing. In addition,/ have read and understandthe 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 thatthe issuanceofthis permit/application and anysubsequent inspection approvals or Certificates of Occupancyshall not beconstrued to
give authorityto violate orcancel the provisions of any state or local lawregulating construction, orasa warranty of conformance with the provisions ofanystateorlocal
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OnAGENT DATE
PROJECT NUMBER= 92OO5628 I%.... UED PERMIT DATE= O7/23/92 PA�E= �i
**************************** �ERMIT I�FORMATION ****************************
%ITE %TREET= iO7i4 E 3i%T AVE PARCEL�= 45283.534O
ADDRE%%= %!-OKANE WA 992O6
FERMIT U%E= %EWER CGNNECTION — %OU1 1"!KOKOMO
PLAT�= CONVRT PL�T NAME= CONVERTED CNTY DATA
BLGCK= LOT= ZONE= A�JU3 DI%T�= F
AREA= O001326O F/A=F WIDTH= iO2 DEPTH= i3� R/W=
DWELLIH�%= iO WATER
OWNER= 1,
IN CHERYL L PHONE= 5O9 924 8957
%TREET= 4 E 3i%T AVE
ADDRE%%= %POKANE WA 992O6
CONTACT NAME= COURHCAINE EXCAVATION PHONE NUMBE�= 5O9 924 5485
BUILDIN� %ETBACK%� FRGIN' T= N/A LEFT= N/A �ILy 11T=
******************************
CONT = H IN C UCTION PHONE= 5O9 924 54O5
%TREET= i64O2 E VALLEYWAY
ADDRE%%= VERADALE WA 99O37
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
.... .... .... ... .... .... ... .... .... .... .... .... .... .... .... .... ... .... .... .... —.... .... .... .... -------- .... .... .... .... .... .... .... .... —....
PROCE%%INY iO.00
%E�ER CONNECTION i 4O.00
******************************* PAYMENT %U!"IMARY *************** It, ************
PAYMENT DATE
RECEIPT�
PAYMENT AMGUNT
O7/23/92
R56 ..... ...
5O.00
TOTAL DUE=
.00 TOTAL
PAID=
------------
5O.00
�ERMIT TYPE FEE
AMOUNT
AhOUNT
PAID
AMOUNT OWINC
--------------- .... .... .... .... .... ....
%EWER PERMIT
.... .... .... .... ....
5O.00
—.... ------------
5O.O0
-------------
.0O
.... .... �.... ....
�.... .... �.... ....
5O.0�
�.... .... .... .... .... �.... �
.... .... .... .... �
�... ... .... .... ... �... ... ��.... ....
PROCE%%ED BY� DOMITROVICH, ROBIN
PRINTED By� DOMITROVICH, ROBIN
%EWER %TUB A%—BUILT INFORMATIO� I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELE�ATION AND PO%ITION OF %E14ER %TUB PRIOR TG ANY 1JT;1ER
EXCAVATION
TO LOCATIN�, WATER LINE%, ECT.
�
CALL BEFORE YOU DI� (45�-8OOO>
%EWER %TUB% ARE TO BE CHE KED �RIOR TO CONNECTIGN TO IN%1RE
THAT WE.... HAIN
********* CALL FGR IN%PECTION PRISR TO COVE� **********
********* 24 �GUR �OTICE �EQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU *********************************