1991, 11-01 Permit: 91005631 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/ certify that / have examined this wym/o^pm/cmmo,state that the information contained m/tand submitted b'me^'mvagent wcompile said permit/application *true
and correct, and author'ze Spokane Ccunty to proceed with processing In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree 10 comply with same All provisions ol laws and ordinances governing this type ofwork wUl be complied with whetherspecified
herein o'not / understand that the issuance * this po,m/xop/atonand any subsequent inspection approvals o,Certificates mOccupancy shall not *° construed m
give authority toviolate ^, cancel the provisions wany state o/local /w^mou/atmyconstruction, o,mawarranty * conformance with the provisions o,any state ^'local
laws regulaling construction.
SIGNATURE OF APPLICATION
OWNER 0nAGENT DATE
PROJECT NUMBER= 91005631 [%JUED PERmIT
FACE- 01
***++*********«************ PuMlT lNF0RmATlON ****************************
SITE STP.ET- 916 BLAKE KD PARCEL4= 22544-1657
ADDRESS= SPOKANE WA 99216
PERMIT |`SF= .i:EWER CONNECTION - WOLFCRE%T
**� :,7EF VOTE ***
802484 PLAT NAME= %OMMER/z ADD TO wOODWARD PARK
BLOCK- 4888 iGT= 16 ZONE= SEP P
_ AREA= 89080808 F/A- F WIDTH- DEPTH- P/u- 50
-)4. OF GLDGE= 1 41. DWELLINITF= i WATER DIJT =
OWNER- [RANDALL
:7P[7,7� ;)ie::, MF KD
(ADDRESS= SPOKANE WA 99216
EHDNE=
D8NIACT NAME= LEONARD PHONE NUMBER- 59Y 926 8964
'BUILDING SETTIACv:::. rpJi)T., LEFT- NA RIGHT= 4A REAR- NA
**v*********)*�***********x** CEWER pERM]T ***kx****************x°*»»x***
CONTRACTOR- H C0N7RUC7lOH
!flKFFT= 117,i7 [ vHL![YUAY AVE
ADDRESS- %POvAHE WA 99286
ITEM DESCRIPTION
PROCESSING FEE
c7FuFP R0NOF1TlJN
14xx»k*x*x****xxxx*xW****x**** PAyMENT
PHONE- 509 926 8964
QUANTITY FEE AHO!|mT
-------- ----------
10`88
SUMMARY ******************:,,..**»******
R[CEIPT4 PAYMENT AMOUNT
8264 !..;0`00
TOTAL DUE- .00 TOTAL PAID=
PEKMI7 TYPE FEE AMOUNT AMOUNT PAID AMRUNT OWING
---'--------' -- ' --'-- ------------
SEwER HERMIT rERMIT 58.88 58.00 `00
---------' '-----------
50,00 50,00 58.0O `08
PROCF�JED BY: JULIE ��//T7[/
KT�TFO 8/ JULIE %HATT8
%LuER STUB A2 -BUILT INFORMATION IS AVAILABLE AT THE C0UUfl
WlLl\IEC DEPARTMENT (*�6-7f;AA4}
CONTRACTOR 0R L1P[1lCANT IS TO FlEi LOCATE AND CONFIRM -THE
B Evoi|OH AND POJ1710A 0r YFUFR ?TUt PRIOR TO AN/ OTHER
�
�,CAVATI0u
TO i0r�T[ BURIED C�BiF� GAS PIPING,�4rE� LINES, [CT
' � � � / `
cA/ i BEFORE Y;; DIG '45/-8800)
�EUE� 2TUT:S ARE fu HE CHRar:u Tu C0NNEC�ION TO INSURE
THAT THEY ARE CLEAR AND ;NOBJ7PUCTEV TO TAF. :;RW[R kInIN
«*«**w*** CALL FOP IHCPEC7TON PP[0ir T0 CoVu x**r:x*»x**
Y**a HJUfl 1111T1CF K:0UlrcED
********» 456-3604 e**v/fxxvxv
*******************e***v***» THANK \OU *********�**-2*;*+**************.),.*