1992, 04-14 Permit 92002491 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 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 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 ag ree 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 perm it/application and any subsequent inspection approvals or Certif icates of Occupancy shall not be construed to
give authority to violate orcancaUthearovisions of any state local lawregulating construction, or asa warranty of conformance with the provisions of anystateorlocal
laws regulating construction.
14
SIGNATURE OF APPLICATION ✓l�` / / �/ /CJO
OWNER OR AGENT DATE FF /
PROJECT NUMBER= 92002491 ISSUED PERMIT DATE= 04/14/92 PAGE= iii
PERMIT INFORMATION ii•#ae#�ii#}:}:..fr#.##.#.ii.#. >:..R##�#�h: dP#�IP#�74 �ii��#
SITE STREET= 13119 E BROADWAY AVE. PARCEL'':== 1550-9008
ADDRESS= .SPOKANE. WA 99205
PERMIT USE= SEWER CONNECTION -- (92S--339)
##
SEE NOTE •x.##
PLAT,:= 999999 PLAT NAME= RANGE.
BLOCK:= LOT= ZONE= UR -3.5 DIST*= F:'
AREA= F/A=:: F WIDTH== DEPTH= R/W- 50
OF BLDGS= 1 0 DWELLINGS= i WATER DIST ==
OWNER= DOEPKE, STANLEY I_.
STREET= 1:3119 E BROADWAY AVE
ADDRES':S= SPOKANE: WA 99206
CONTACT NAME= STANLEY I_., DOEPKE
BUILDING SETBACKS: FRONT= N/A LEFT= N/A
SEWER PERMIT
CONTRACTOR== OWNER:
ITEM—DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 924 6930
PHONE: NUMBER= 509 924 69310
RIGHT= N/A REAR= N/A
PHONE=
QUANTITY FEE:: AMOUNT
Y 10 00
1 40.00
PAYMENT SUMMAR'i' .tt. # ti. #. # R. si.;i. •# te.x..A. #. #..�..x. #..�..# # # # #.:a. #..M. }; .;;.
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
0404/92 2581 50.00
TOTAL DUE=:: .00 TOTAL PAID= 50.00
i'ERMIT TYPE FETE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00)
50.00 50.00 .00
PROCESSED BY: DT:3L•ITROVICH, ROBIN
PRINTED I:+Y: 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 T;{IURIE:D C:AI:tLE:::S, GAS PIPING, WATER LINE:::S. ECT.
CALL .BEFORE YOU DIG (456--8000)
SEWER STUBS ARE TO BE: CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
u..x...nai..tt.;a.u. CAL..L.. FOR INSPECTION PRIOR TO COVER
<:Fs I-iC)L.!R i;✓OTICEE REQUIRED
456-3604
-
THANE( YOU