1991, 10-01 Permit App: 91006342 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permiUapplication, 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 006342 APPLICATION DATE= 10/01/9i PAGE= 01
*-xxx•** THIS IS NOT A PERMIT **• ***
PENALTIES WILL.. BE HSEE:SSr::D FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 3'ir, S BLAKE RD
i='ARCE:L.O= 22541-9125
ADDRESS=_ EPfK.AI E: WA ?9'i 6
PERMIT USE= SEWER CONNECTION — UI...1:D 903
*** SEE NOTE •>i -x-*
PLATO= 999999 F'I...AT NAME= RANGE
BLOCK= LOT= ZONE= AGRI DIST::- F
AREA= 00000000 r/A= F WIDTH= 135 DEPTH= 170 F /W::=
x OF t l._DiGS= 3 :N• DWELLINGS= 1 WATER DIST ::-
OWNER= ECHII...L..E:R:, THOMAS F't PHONE= 509 922 0300
STREET= ;.ri1 6 S BLAKE RD
ADDRESS= SPOKANE: WA 99216
CONTACT NAME= RON SLOAN PHONE NUMBER= 509 922 0500
BUILDING SETBACKS: FRONT:::: NA LEFT= NA RIGHT:::: NA REAR= - NA
* 'P: * 'h. •h:- x• •x 'R• :l. ),..y}• .h: -: -JF ,. * P. * •R• x Yr: - .i it * T: -R- * -%i' \ . .
SEWER I .t . + .. ..� a. yi. yi :ri.:p: n: yi..ji..0 .yi..h..p:..yt..yi yi..h: •ii .yi .yi..yi .yi. yi }i it x * a,: x h. :k
CONTRACTOR= ALWAYS ACTIVE.
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PHONE= 509 922 8500
QUANTITY FEE AMOUNT
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 50.00
PROCE SE.D BY • •..HJL.IE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB A,a.-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD) LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL- BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THrtT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*:x**-h.*-yi-h:- Cr-1L..i.. FOR INSPECTION PRIOR TO COVER xxxxxxxxxx
•1i••x.yi.*•a..yi•*�i•x. 24 HOUR NOTICE REQUIRED -,ritx3i-x-x••x••x*x
x•i -h ** xit•x• 456-3604 yt.:ri. .yA:R**:A.y(*x.
x*ihyyx. r*r*tr zpnrr#t xi x x*iizfi # i#THANK YU x * * iri,y�
; pht * x Kixxryiytiix x xx ix i * i