1991, 11-18 Permit: 91005816 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:: 91005816
ISSUED PERMIT DATE= 11/18/91 PAGE= 01
*•*..*.************************* PERMIT INFORMATION *******ai•****** ****.*.*R.tt..x.n..tt.#u.
SITE STREET= 414 S BLAKE RD PARCEL= 22541-0205
ADDRESS= SPOKANE WA 99256
PERMIT USE= SEWER CONNECTION — ULID 903 (91—S51)
*** SEE NOTE. ***
PLATO= 001051 PLAT NAME= GRAY ADI)
BLOCK= 2 LOT= i ZONE= AG DISTO= F
AREA= 00000000 F/A= F WIDTH= DEPTH=
4 OF BLDGS= i a DWELLINGS= 1 WATER DIST =-
R/W= 60
OWNER= KIL..L.IAN, MRS PHONE=
STREET= 454 S BLAKE RD
ADDRESS= SPOKANE: WA 99216
CONTACT NAME= LEONARD PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************.*.*..*.*.*.*.*.*..****
CONTRACTOR= H t, S CONSTRUCTION
STREET= 11817 E:: VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
QUANTITY
5
PHONE= 509 926 8964
FEE AMOUNT
*********•********************** PAYMENT SUMMARY ********
10.00
40.00
PAYMENT DATE RECEIPT. PAYMENT AMOUNT
11/06/91 8264 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50,00 .00
50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAIL..ABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIE:LI) 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::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE .SEWER MAIN
*.******** CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED ****ie*****
****:*•**** 456-3604 ***4:******
******************************** THANK YOU *****************************'****
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 perm it/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 l understand that the issuance of thispermit/appbcalionand 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 NUMBEt91005 16ISSUED ED I
y!+r.e3e • dr yr er �.
INFORM
�rHi��ir yr yr n: yr di�ikr: di�i�. i': =.. 1', l"t ..1 INFORM(
SITE S'TPs(i:E::T` 414 S BLAKE IBD
ADORE Jr'C!1 ANIS: WA >c,,y:i ,.
PERMIT ( i.. SE ,SEWER C.f}*JNE:L..T:i:ON .... Lii..i:% 903
*HN ;'C'1.:: I`.I r:}.l..E dd L}*
C IE}I:I T A
FiU:I:LJ)] N
sl._(1CV :
AREA=
001051
00000000
I:'L..i:;T NAME=
Er ;.,.. F
SL -
K ILL IAN, MI
SPt: Kf:lblE 41(:1 c
DATE= 11/0 9i PAGE= 01
iF iE is �i id di it �F iE r' 1- di ie It ,e 9e It :,. dF di }i ke ii d.
•. _, -, 7c; _�.I ..0201
T NAME.. LEONARD
FI...}...I;rri c:: FRONT= NA 1...1::'i f':::. NA
it)dPitdidi9i:P))'1)i 9iA)iX)tli Ii-liri)i)M*X**lidr SP:LII::i; PCM
CONTRACTOR-,
ETRITET::::
ADDRESS=
X.di ii i
HC HON
11I'1 .:i I::. ,1jrAl.. i...I':.'i LtiA i AVE
SPOVANE WA 99206
ITEM ESCRIPTION
I:a(:11::ES'SINC: FEET:
SEWER CONNJE:C•:[(].J
u: }i..,i..ii..h.3i.:,i..i(..)i ii ii.:m:,i.:i..ri.:n::,i.:,e*ii )r PA
PAY Mi. NT DATE
ii/%i.6/ /06/91
TOTAL DUE
PERMIT TYPE
SEWER PERMIT
E :'Ld A,G
i+i'E.4
y.4:di'd•idi'd@:•tA.,tP'P: )t A )t*'h:A. ,ta' A A' h' Jl X** **
hr4
PHONE= .:i •fl9
MEN i SUMMARY .
8264
L: AMOUNT
T
50,00
50.00
F:-RCCEi:SSE1)) FBY: ,JUL.1F SHATTO
PRINTED BY: JULIE SI-IATTCI
a'.
..- y.......
r yr ye yv a: ec ot.
i..1
tr
FEE AMOUNT
........................................
10.06
40,00
..........................
v: �m ar n: m�n: s'�yt. y¢yt�ve yr nV.
PAYMENT AMOUNT
'30.00
50,00
HI''11,p,!i! i OWING
t9':7
SEWER STUB AS—BUILTINrOEtr'Irgl(;6.,•.;';IL_o-,_ti
UTILITIES DEPARTMENT l456--31,04
T O :...
CONTRACTOR t. I'ti APPLICANT .V �\ 11,
ELEVATION EL.ErVATT(liJ AI'JD POSITION OE SEi,)iF..i:'.
EXCAVATION
TCl LOCATE BURIEDCAJ;I..i::,C'
CALL BEFORE YOU 1):I.(:;
SEWER STUBS ARE TO GC CHE
THAI TF -II'( ARE
- -1 p
R AND ll
iSgi9>i1nCALL "l^
.1. IR ,`. i"1::.1::
•) :i 1C A: )i-li-li ii di 24 HOUR
U
GA
ii'
****dididi.:,;.*.p, :,c:,i.:,i..)i) yi.***y
JG 141A T
0 EP
r
A;' THE COUNTY
ANI) CONE L_ RM TETE
'TO ANY OT HE R
JEECT:I:i:1N To INSURE
SEWER MAIN
X** A )1 A h***
)4* $ )1 di ii r'.
y
*di.diisi'i)iii
is y. yi Pi-r'n: N:yd-) -i )i ii -i N:,iddii ayi 'n}*