1991, 12-05 Permit App: 91008428 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 NUMBER= 91008428 ,RF'F:`t:7:CAL`TON 1
DATE= 12/05/91 PAGE= Oi
****** THIS IS NOT A PERMIT **4j***
PENALTIES WILL BE: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
•
-SITE STREET= 520 S BLAKE RD' - PARCEL4= 22541--0514 •
.ADDRESS= SPOKANE WA 99216 - -
PERMIT'USE= SEWER CONNECTION — SOUTH BLAKE UL..ID 0,,903 (91-5119)
*** SEE NOTE_ ***
PLATO= 001051 • PLAT NAME= GRAY ADD - -
BLOCK= 1 .. LOT= --14 ZONE= -AG - ! DISTK= -F '
AREA= F/A= WIDTH= DEPTH= R/W= 60
v OF BLDGS= 0 DWELLINGS= _ i WATER DIST =
OWNER= STEFONOWICZ, GERALD
• STREET= 520-S BLAKE RD
ADDRESS= SPOKANE WA 99216 .
PHONE= 509 924 6598
CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A 'LEFT= -N/A RIGHT= N/A REAR= N/A
***
***************3K********• SEWER PERMIT
CONTRACTOR= H & S -CONSTRUCTION -
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206 . ..
ITEM DESCRIPTION QUANTITY FEE AMOUNT
.**..1i***************************
PHONE= 509 926 8964
-PROCESSING FEE - Y- 10.00
SEWER CONNECTION- - 1 40.00
PERMIT TYPE FEE AMOUNT _ AMOUNT PAID. AMOUNT OWING
SEWER PERMIT 50.00 ;00' 50.00
50.00. .00' - ; 50 : Cf{)
PROCESSED.BY: DOMITROVICH, ROBIN 1
-PRINTED BY: DOMITROVICH, ROBIN .
SEWER STUB AS -BUILT -INFORMATION IS -AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)-.
CONTRACTOR OR-APPCICANT IS TO FIEL..I) LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TC) LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.. -
CALL BEFORE,YOU -DIG (456-80,00), -
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO.INS'URE..
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN,
*•******** CALL' 'FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE: REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ************-*********************
•