1991, 09-10 Permit App: 91005669 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE .
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have exami ned 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 Ceridicafes 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005669 DATE= 09/10./91
ir+
I"ct l.v 1_.
****#dr THIS IS NOT !- F- RMIT ######
PENALTIES W:I:L..I... Fr ASSESSED FOR COMMENCING WORK WITHOUT A F'tr':nTi
SITE STREET= 1223 S BLAKE RD
ADDRESS-: SPOKANE WA 99206
PERMIT USE:= SEWER CONNECTION -- WOL_FCRE:ST
*** SEE NOTE ###
PLAT -4= 000172 PLAT NAME= BEN'S SUB.
BLOCK=
i LOT= 4 ZONE= AG
AREA= 00000000 F/A=: F WiDTH==
R OF BLDGS= 0 1)1411_L..INGS= i WATER DIST
PARCEL v°= 22544-2014
OWNER= WALLACE
STREET= 1223 S BLAKE RD
ADDRESS= SPOKANE WA 99206
PHONE=
D:f.`'T0=
DEPTH=
CONTACT NAME= LEONARD PHONE NUMBER=
BUILDING SETBACKS: FRONT= NA LEFT— NA RIGHT : NA REAR= NA
.,
'1(' if 7('.....:pt***********************"SEWER P f ( dRNVaxayiG ff PhPk) (p*jA
CONTRACTOR:'..: H S CONSTRUCTION
STREET= 'i i Fli'?' F.:: 1'AI...I...E::YWA'r AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FF::E
SEWER CONNECTION
PERMIT TYPE FEE AMOUNT
f'C:b:IE:R PERM[[T 50..00
50,00
QUANTITY
(1iIi(:11.JN-1 PAID
.00
PHONE= 509 926 89/ r
FETE AMOUNT
F.,MC:1N
10.00
40.00
OWING
50,00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JLJL..i:E. SHATTO
SEWER STUB 1= �,:>.._FUI:I..T INFORMATION IS AVAILABLE AT ;FiiE COUNTY
UTILITIES DEPARTMENT (456-"3604)
CONTRACTOR OR APPLICANT IS TO Fl Fa_i) LOCATE Agit C [:r -FIRM THE
ELEVATION AND POSITION or SEWER fi Ti.IC1 PRIOR TO ANY nTHF R
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES rCf:
CALL BEFORE YOU DIG (456.'..8000)
SEWER STUBS ARE 10 BE CHECKED PRIOR TO CONNECTION TO i:f4SURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEwi'r.:l<. rlr'j:F.iv
k.f(.#a#**** CALL
FOR INSPECTION
NSPECTON PRIOR TOCOVER ETFRARRR**
rififeiridyA HOUR NOTICE REQUIRED ####Pri#fan
.y..y..y..y. y..y..y..y..y. 456-3604 3t -X-.- # *..-X. #. #..M..h.
Ni=
diii Nff iE 3i if li 3f§fj(.}fifif#if if.$)f if l(. yc3f:lr: .y:dfif * THANK Y0Li if###***iE#-Y:*** if####if ii if if #ii ii i(ii#riff if