1991, 12-19 Permit App: 91008729 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P RCLIE:.i:: ( NUMBER= (1008729
DATE:- i tis 1 PAG;E.:., .?,;
}rk.}#}i}i.}i. THIS TS NOT A PERMIT }i}i}r}ijr}r
PENALTIES WILL BE ASSESSED FOR CCi;• ENLI:NG WORK WITHOUT A rE{RMI1.
SITE •,TRFE:T= rtt S BLAKE RI) PARCEI...:C:= 22541-9169
ADDR; FOKANiii: WA 99206
PERMIT I.ISFE SEWER CONNECTION SCIIJTH i'i...Ai<E (91E--153)
PI ;}.I. 999999 PLAT Nr"I'-j[i:::;: RANI
NDIST4= BLOCK= LOT=: NE= l.1Vi{ Xi.(.S1;L:.
AREA= A= 0000708 r,A= F WIDTH= 1180 DEL'+(1-;:::
OF BL.DGS- 0 DWELLINGS= WATER DIST =
STREET=
A)y Dr. E:3
IEFiL.ER, C ANN
22 S BLAKE RD
POKANE WA 99206
C CONSTRUCTION
It.I:Li...Iia:lvis :`\rr1 liC:KS:
FRONT= ru A LEFT= Ati1=i RIGH:N/A PEAR= rv; t..,
PHONE=
PHONE NUMBER= '209 927 4760
.yi.}'id'i.yi.}i.}i.u@.yi.u.j6.u..*)e�k jt:ri. jf. j+. jr SEWER . R !?.i,! yi..ii.ji..u.di.:i..rt.:d.:d. ie yf.k.it u'u'}t }k u. u..h *}i'r. 'k }6 **
CONTRACTOR= TLC CONSTRUCTION
rREC[i:T, 13016 I::: 12TH AVE
(,f,l:'RE SS=: SPOKANE WA 99216
I -I'I} 'i I)i;:, C:Ft I: P1 is NN
...........................................................
ING FEE
1NE1.:'(ION
PERMIT TYPE
SEWER PERMIT
}i. j@ )E B'.)A 3
CAL
PHONE= `S o-, r;',? -,•' 67An
QUANTITY FEE:: AMOUNT
ry 40, _id
10„00
FE::E: AMOUNT AMOUNT PAID AMOUNT OWING
50,00 „00 _.. 50400
'OMITRO'VICH, RODIN
DOMITRI:)VICH, ROBIN
i.i:ft AS--BLI'I:I..T :EP;r'ORFiA T I:L1N 1S AVAILABLE AT (."I.:_ COUNTY
DEPARTMENT F.456
TION
pi i I.) L r.i r. P�'( i,;: (-}N I; C a7 N... I;
(.IB I''R.EO r rf1 riNY C;;
I:EC BURIED CABLES 4 GAy'rP'IF'TNG, WATER LINES,
NrEORE. YOU DIG (456-8
STLUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO
'HEY ARE CLEAR AND UNOBSTRUCTED TO THE. SEWER MAIN
:`ALL_ FOR INSPECTION PRIOR TO CO'b':..i, ***On***
iS 'it }c_i.k}: }rs 24 HOUR NOTICE ••FOU T.RE: iY }f}i}t:**** -**
456-..3604 **k*******
*# THANK IOU .O.:.J 'ipjt;wre9f **}e }f }e