1991, 09-13 Permit App: 91005644 SewerSPOKANE COUNTY DEPARTMENT 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, 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91 005644
ttF'PLI CAT IOIR
DATE= 09/13/91 PAGE= 01
•i* -)**x-* THIS IS NOT A PERMIT i******
PENALTIES WILL BE:, ASSESSED FOR COMMENCING WORK. WITHOUT A PERMIT
SITE STREET= 12907 i::: I:;I_.OSSEY AVE PARCEL -4= 27542-1412
ADDRESS= SPOKANE WA 99216
PERMIT USE:= "EWER CONNECTION -• 8801
*** :EE NOTE *•t**
PLATO= 0018.4 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 3 LOT= 12 ZONE=:: AGSUB DIST:„:==
AREA= 00000 000 F/A:-: F WIDTH= DEPTH=
OF 131...DCr,S::::
DWELLINGS= i WATER DIET
i�-
R/lel::.
OWNER= SPRAGUE:, GREGORY PHONE=
TRI::.E:.T::.. 1290 E BLUES:EY AVE
ADDRESS= SPOKANE: WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 89 64
BUILDING FNG 'ET).fret"KS : FRONT= NA LEFT= i• NA RIGHT= Nfa REAR:::: NA
***********************K*** s{W F FPERMIT RPRRPRPPPP7Nlb*xk4xxtkP)h)(l
CONTRACTOR= H CONETRuc`,TION
STREET= 11817 E 4 ALL_E:.YWA`t' AVE
ADDREEE= EF'OKtor4E WA 99206
PHONE= 509 926 8964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 't` 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 00 50.00
----------
50.00 _viii 50,00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWE::I"{. STUB AS—BUILT INFORMATION TS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE:
ELEVATION AND F'O .ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CAL...L.. BEFORE YOU DIG (456..-8000)
SEWER STUBS ARE TO F;E: CHECKED PRIOR TC) CONNECTION TO INSURE
THAT THEY ARI:. CLEAR AND UNOBSTRUCTED TO THE SEWER IUtIN
**K****** CAL.I... FOR: INSPECTION PRIOR TO COVER *•x••x-*•kii••x••i*•x•i*
**•i{*i*i>:9* k- 24 HOUR NOTICE REQUIRED i**********
•1i• •x• n # -A.• :* * x- * 456-3604 • -h: i* •.... iHt- k
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