1991, 09-10 Permit App: 91005670 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= 91005670
* APPLICATION DATE 09/10/91 PAGE= 01
****** THIS :E::> NOT A PERMIT *:R.:A***
PENALTIES WI1._1... BE ASSESSED D F•COF COMMENCING WORK WITHOUT i`t PERMIT
SITE STREET== 91 1 S Efl...AICE: RD F'ARCE::I...4= 22544-0635
ADDRESS= SPOKANE WA 99216
PERMIT LJSE== SEWER CONNECTION -- WC)LFCREST
*** SEE NOTE ***
F'I...AT4= 002404 FLAT NAME= SOMMER' S ADD TO WC)ODWARD PARK
BLOCK= 5 LOT= 5 :'ONE=: SFR DIST4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= Ft/W= =::i
4- OF BI.-DGS=� 1 DWELLINGS= .} WATER DIST
OWNER= BOURBON
STREET= 9 I 1 E BLAKE RIS
ADDRESS- SPOKANE WA 99216
PHONE=
CONTACT NAME== LEONARD PHONE NUMBER= 509 926 3964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT-:: NA REAR= NA
*********************:k***** E _ PERMIT PbRfi jlM44iFP3{ h)l t Vi!i{C * 7 M 7
* R7
CONTRACTOR= RA`tCTOR-' H . S CONSTRUCTION
STREET= 1 1 11 r E VALLEYWAY AVE
ADDRESS=" ,SPOKANE. WA 99206
ITE=M DESCRIPTION
PHONE= 509 926 3964
QUANTITY FEE: AMOUNT
PROCESSING F E E y 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PA]:I) AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
0.00 .00 50.00
PROCESSED BY: Jt.ii_:EI:: SiiAT T 0
PRINTED BY: JULIE SIIATTO
SEWER "TUB AS—BUILT INFORMATION IS AVAT....AF{I...E: AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER ;STUD PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURT:E:D CABLES, GAS PIPING, WATER R L..INE:S, ECT.
CALL 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
********* C:AI...L.. FOR INSPECTION PRIOR TO COVER *•*********
*•*•******* 24 HOUR NOTICE REQUIRED *****•*'**)i•*•
:k******** 45A-3604 h:... * Pi i+: *• )i' *• *• :ni
***){***rii'****r**'*)i')i'*'*K7 *)i'r.'*'fi***i{)i•* THANK you i+:***•*'ii••ii'******'*:*ii•**•}i*ii'y+:i+:*i+:**.i+:*iti�i+:is