1991, 09-10 Permit App: 91005671 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 tocompile 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, orasa warranty of conformance with the provisions of any stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005671 POPLWATION I]FtTE=:: 09/10/91 PAGE= 01
****** THIS IS NOT A PERMIT tt•*****
PENALTIES WILL DE ASSESSED FOR COMMENCING WC)RK. WITHOUT A PERMIT
SITE STREET== 1005 S BLAKE RD
ADDRESS= SPOKANE. WA 99216
PERMIT USE=:: SEWER CONNECTION .... WOI_.FCREST
***• SEE NOTE ***
PARCEL4= 225.4-.•2801
PLATO= 002945 PLAT NAME== WOLFCREST ADI)
BLOCK= 1000 0 I...OT: i TONE:::: SF --`R DIST:„:-: F"
AREA- 00000000 F/A= F WIDTH= DEPTH:=:
OF C{I...DCS:= i :� DWELLINGS= i WATER DIET •--
OWNER= LYNN
STREET== 1 005 5 BLAKE RD
ADDRESS= SPOKANE WA 992i6
b
PHONE=
R/W- 50
CONTACT NAME= LEONARD F'I•IOINF NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT:- NA LEFT= Nr; RIGHT= NA REAR= NA
;l• * * * * ;l : * * • .* * •Pi •;i• •• • * •h.• tt *.A..h• * •H. * * 3,; S E:. W E Ft PERMIT .M. * * ii• •h: # . .h..k.* * ..yr * ...f;..p, .k..yf..p;..Jt...* * .P * .u..y1..p...p..
CONTRACTOR- H , S CONSTRUCTION
STREET= 111317 E`:. VAI.-L..EYWAY AVE
ADDRESS= ;SPOKANE WA 992OC
PHONE= 509 926 3964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40,00
F'E:RiS1:T TYPE FEE AMOUNT AMOUNT F'AID AMOUNT OWING
SEWER PERMIT T 50 00 .00 50.00
50,00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
EE WE::R: STUB AS -BUILT INFORMATION 1:S AVAILABLE AT THE COUNTY
U T IL..ITIES DEPARTMENT (456-3604)
CONTRACTOR OR AF'F'L_i:C',ANT IE TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUD PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE E IBURI:ED CABLES, GAS PIPING, WATER 1..INE:S, ECT:.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TC) CONNECTION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWEr.. MAIN
•;l•U:'k*•**•R•** CALL FOR INSPECTION PRIOR TO COVER *.#..X*..h..N:'A•Ji''P:7{
** ;i•.y.) a3i 24 HOUR NOTICE REQUIRED *#*.yi*ri:>r#*-;c
* •;l .j(.: .A. * . 456-3604 :» ii.. X * * •h:
.. ....... ............. .. . 3
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