1991, 11-01 Permit: 91005673 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 l 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
F•IROjE,i-:.T NUMBER= 910056
h1
..............................
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ISSUED PERMIT DATE= "I:,Ti PAGE= .:
.,7
n) PERMIT INF 0R:MA T TCIi' �.
E. STREET= i,,.), S BLAKE RD
ADDRESS= '_'i:: fJK' N1: LIA 99216
PERMIT SEWER CONNECTION
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PARCEL 4= ...,_';• .4 ,: t:;
' .i_n = 000.172 PLATNAME= BEN'S S
J.
LOCK= 1 1..1OT=s"i: ZONE= = AG:i=::1 i; t:T'�i' "
AREA= 00000000I" /A':. ... WIDTH=.1 1 r> . ,;rr
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DEPTH= i .,..._,
.r. 1'P" "f-::j_Df:i.C... 0 DWELLINGS= .I i,1ATI::.Fi Dl:S'f
OWNER= D3:NVj
STREET=
ADDRESS= E
CON TACT NAME= L EONARD
PHONE=
9 9
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PHONE NUMBER= 509 9268964
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BUILDING SETBACKS: FRONT = UA LEFT= NARIGHT= NAr•"r..r,Fi'= NA
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CONT RA0 OP
STRE"r
r=iT)1.)1' 1:: S,
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SEWER PERMIT
!STRUC T ION
AY AVE
i'(TKANE WA tyl(,:?.'.i.i
PHONE= 509 926
ITEM DESCRIPTION QUANTITY P'1= F+MCPJNT
I-"R0CE- `''.NC.Y I i::.i_. 10.00
ER f.',.i;;it ivlii:f.: i":i:f:iN 1 40,00
ii- di -x) xi i
I'AYMI'.t`tI' DATE
E
11/01/91
..Tin (i{.
PERMIT TYPE:
i_:t4E:R PERMIT
. • ..:...
�x'ii"ii"i!i� Pf"tTr!r_iJl $i.l t•i rvi r=7RY ***********X*********** i
RE f-'..I::..i.I"Eii PAYMENT AMOUNT
8264 50.00
S7 O, " -.
.. o-1 TOP: i:.l::i.:
a... I''r`i :_ -)Q,. tj
AMOUNT'
PROCE JULIE Si-IAT'}.O
PRP ED BY: JULIE SHAEEC1
50.00
50,00
0UN_i PA ID AMOUNT litJJNG
50,00 A 00
}O., 00 400
STUB AE -BUILT INFORMATION IE AVAILABLE AT THEGta(.INI;,7,
.LITIES DEPARTMENT F456-3604)
CONTRACTOR OR APPLICANT IE TO _F 7:;-.:L?) i...0
E i..Fi1.)1="1T:Efliv AND i>0;: { .1.E'.is OP SEWER STUB F
I::::(::n'v AT I ON
TO LOCATE BC
IE
OR
!-7 CONFIRM THE
ANY OTHER
HEAR
GAS 1- I I- .L N CY r WATER LINE. : ECT,
CALL_ BEFORE
!IA
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BE CHECKED E.. ..,r...,...
I'�. 1::. TO t:. 1:: Z.I.C./ 1" i' _. ..�',. 1 ..CONNECTION i.. I9 S ,.!R!':.
ARE: 4."L_F::rii-. AND i.iivi itaSTE.."lii"; l-E'L1 TO THE SEWER MAIN
CALL 1"(1'? !1",}1-'C:. I.,i J II PRIOR TO COVER ii'di'Jt'x'"x"ai: *ii'iix
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:di)lIlIt)tIE:1i.:li.:l(.:1.):i.:l.):y.:N')•)',•y'gi`. e.? -*X lt'i it ii.:li.:Y)'),)fli ;n)'ii'di: THANK , - 1: I .. .... .'?*
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