1991, 09-10 Permit App: 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 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT r. t.) rLef I L r -- 91005673
LATE== 09/10/91 PAGE= {;i
ie*1e*)e* TH1,Y IS NOT A PERMIT ir.n..u***
PENALTIES I,IIt..t.. BE ASSESSED FOR COMMENCING WORK W.T.T'I-If.)U'T' A PERMIT
SITE STREET-- 1203 S BLAKE RI) PARCELt= 22544-2012
ADDRESS:: SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- LIOL_FCREST
*** SEE NCOTE. ')1''N'k
PLAT4= 000-172 PIAT NAME= BEN'S SUB.
BIC C'K"= i LOT= 2 ?ONE= AGRI D:i.ST°== E'
f -)I tiE:.A== 00000000 DWELLINGS=
Fr A= F WIDTH== i i `5 DE:P-I H�=: i :.'...S R/ W=::
0 UI- A:SL..)-L _•• 1 DWI.EL_L..ING,}= I WATER DIST :_:
OWNER= DINNEEN, G P
STREET= 12103 E BLAKE RD
ADDRESS= SPOKANE: WA 99215
CONTACT NAME= LEONARD
PHONE= 509 926 8158
PHONE NUMBER== 509 926 8964
BUILDING SETRACK S: FRONT:::: NA L_EFT::. NA RIGHT= NA REAR:::: NA
'R' T:')t' 3 *X*************
*.x.*..tt..-X*.:* SEWER PERMIT ri..H.h..*.x.ifiiieieiFiiieiiti)iie)iiili**ie****31:***
CONTRACTOR= H t S CONSTRUCTION
STREET= 11817 E:: VALI._Ei:YWA'r' AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE:
SEWER CONNECTION
PHONE= 509 926 89764
QUANTITY FE::E: AMOUNT
Y 10.,00
40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.100 .00 50.00
PROCESSED BY: JULIE ,SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (45.6--3604)
CONTRACTOR OR APPLICANT ]:S TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
-E0 LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456—.8000)
SEWER STUPS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARF CLEAR AND LiNOBSTRUC TED TO THE ,il_WE.R hhH.,
a eac.n..A.*tt..R..a.*. CALL_ FOR INSPECTION PRIOR TO COVER 'i<..Htikdireirri-0e3e
*****a *** 24 HOUR NOTICE REQUIRED *ieie)e#ie)eie)eri
nx t an ;nax456-3604 **1*** i:..#..tt..p..tt.
file)t'A"1i'1t'1011)fielt'ie'ATHANK YOU nriurih:iiri##)Eie)e)e#ierife3rk##3e#i4)E =ri3i3fieiiifiiie