1991, 10-18 Permit App: 91006943 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= 91 004943
APPLICATION DATE- 10/18/91 PAGE= 01
******- THIS IE NOT A PERMIT ******
PENALTIES WTl_I... BE ASSESSED FOR COMMENC:INGORO WITHOUT A PERMIT
SITE STREET= 921 S BLAKE RD PARC ::L.r:_ 22544-0636
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — WOL.FC',RE::s'T
** SEE NOTE **n•
:r
PL_ATg= 002404 PLAT NAME=: SOMMER' S ADD TO WOODWARD PARK
E.I._CICK::.. ni LOT= 6 ZONE= SFR DIST,';::::; r-
AREA= 00000000 F/A= F• WIDTH= DEPTH= i:,_/w::_
OF BLDGE= •i 4 Dwi •i...I INGS- •i WATER DIET :::
OWNER=- MC DOUGAL_L
STREET= 921 S BLAKE RD
ADDRESS:: SPOKANE WA 99214
PHONE=
50
CONTACT NAME= RON SLOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT::: NA REAR= NA
1 ik ? * •A h• ): A 3t it * It 7l- * -A -1{- -R' -P::l- -A: 'A: 9k 'A::fl- ') A 4 A t .. w Eti ' :. R t•I 1. r **********K***********,***** .Ll..jl. •%S
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX 141542
ADDRESS=: SPOKANE WA 9921
PHONE:::: 509 922 8500
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
PROCESSING FEE 'f' 10..00
SEWER CONNECTION 1 40A0
400
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 _{!0 50.00
50_00 _00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456....3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM Ti --IF.
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED C::ABL...ES, GAS PIPING;, WATER 1...1:NES, E::C::T.,
CAL..l... BEFORE YOU DIG (456-8000)
SEWER STUBS ARE: TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
K..#u-ii-*ii••k - CALL_ FINSPECTION TNSFCTTON PRIOR TO COVER •}i•ii••ii- :•*••ii•tt•* ••a
*at :#**** 24 HOI.IR NO ICE REQUIRED •�iritA:ii--a:iEi*�i-tit-
-ii •i•:• * * •ii * •k• •k• •k• 456-3604 3 X * •Yl * .. Jt * *
* -)i• * ii• tip: )i• •ii• ii• )i• •ii• it k: )i• yi• * )i ii• ii• 3 i• h: * 9i * * # ii• *• :• * ii it THANK Y o U 3'....• 3,: * :A:• • :k •b: ii• •b: iE * * ai ii• * * * :• * * * •p:• ii• * •k• ii p: •»: •n• *