1991, 09-19 Permit: 91006075 SewerSPOKANE COUNTY.DEP.1'RlTMENT OF BUILDINGS
W. 1303 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 Spokane County to proceed with processing. In addition, 1 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.
SIG
NATUREG
OWNER
WAPPLICATION
OWNERER OR AGENT(/ DATE / / c' 7/
PRojECT NUMBER= 91006075 ISSUED PERMIT
DATE= 09/19/91 PAGE= 01
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SITE STREET= REET=- 205 N .t: ANNEN RD I•• F -E.; _.L:.i....p.... 14543-9124
ADDRESS= SPOKANE WA 9971 2
PERMIT USE= SEWER CONNECTION
nKri SEE NOTE title*
PLATro:_. 999999 PLAT NAME' RANGE:
RI._O(:•K_= LOT= ZONE= AGSi.IT-t DTSTO F
r",HLH=: F/A= WIDTH= DEPTH= Ft,/W=::
:a: OF Bi...DG.Sti. : DWELLINGS= •1 WATER DIST =
OWN;::—_C0 I:{ itv1rUN , BOB PHONE=:S•ii:::1
STREET= 205 r B NNEN RD
ADDRESS= ES,'_.':_. S'OKKANE. WA 99212
.
CONTACT NA E:TOTAL LANDSCAPE SER. . i NE NUMBER= 509 920 9545
BUILDING _Tw.n::
FRONT= NA L..EFT::- NA RIGHT= NA REAR= NA
* ;y: ri : a i s :t• a R * ii• * * •a: * * * a 3 * k X- * •k SEWER PERMIT •jl..j .14..j(.:>ti..j;..P.:A: 7{• R Jk * •i:: * * •'r.'• -ii * ;i. A -a: ...: -a: •n:
CONTRACTOR= TOTAL LANDSJCAPt�E SERVICE
STREET= 1220EAE
ADDRESS= SPOKANE WA 99"1
ITEM DESCRIPTION
PROCESSING FEE
t:::
SEWER R =:ONO C T I OI'ti
QUANTITY
•
Y
PHONE=: Th Ji' 920 545
FEE AMOUNT
10.00
40.00
7t' ;t: A: iN * R n 7t 1t: P: -R' 1C -1!• -P:• •Jl' '1t• •A:' Jt )k Yt• Yk Yt 7C * * n 7t * R• X it t-' A t (" ( ::. , .. I h F j 'ti T 'Jk •P: *.1t:.R.:P: il' it: P: '}t:• •p.• * 'P:' •il' it• i{• tit• •'r?• 7{• •R' 93 •Jt• •A• •Jt• •Jk '&'t
PAYMENT DATE F,'ECE:i.P T O PAYMENT AMOUN .
09/19/91 50.00
------------
TOTAL. DUE- .()0 TOTAL. PAID-- 50,00
PERMIT FYPE FEE AMOUNT AMOUNT PAID) AMOUNT OWING
PERMIT i ?11.,1:Jl:J 50.00 „00
50.00 50.00 .00
F'I i;';(. ESSED BY : JOHN (...A+,RSON
i F :i:iii"(•(:::D C:{`r' : JOHN LARSON
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE E AT THF.: COUNTY
UTILITIES DEPARTMENT
CONTRACTOR OR AF:'1::'1...1:.ANT IS TO F:'IEL):. .S LOCATE A. CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR OTHER
EXCAVATION
ION
TO LOCATE BURIED CABLES, GAS P1:i:::i:NC;, WATER LINES, ECT
c::Ai...i... BEFORE YOU DIG (45:)6....84)00)
SEWER STUBS ARE TO :(:{E:: CHECKED PRIOR TO CONNECTION TO :INSURE
F.F
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE tE Si:::WER MAIN
i
******K** C,ALI... FOR INSPECTION PRIOR '(•O COVER til..Xtil••xh;k ta*
****y:*** " 4 1. }OUR NOTICE REQUIRED Jl••ll•tiYtitRti til•ti:`•,'.'
9'•ny a"
.k******** 456-3604 * A:• •Jt: •A: til :l' 9t: * t{ R
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JOB ADDRESS : /t/ c £ nit. Pn a,/c-"" /%.3
SUBDIVISION:
LOT:
BLOCK:
OWNER: Ci I „ea , ax) PHONE:
ADDRESS : /t) -2 0j It_,2 „..) ic:,
CONTRACTOR: /0 1O / Z a -A, r,,c'e ev2i2 y , PHONE: 5-1L 957'
ADDRESS : / 2 7c., Sr 2 t/,
LICENSE # : ;Z; 71 : GL ,<- /36 /Z' 2—
INSPECTION DATE: gip.- 17
TYPE OF OCCUPANCY: