1991, 11-07 Permit: 91005853 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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 permn/applicatron is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REOUIREMENTS/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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
F r<OJECT NUMBER= 91005853 ISSUED PERMIT.
SITE STREET= 51 5 S BLAKE RD
ADDRESS= SPOKANE bJr'i 9921
A[r=:: 01
INFORMATION iiiri4ii if
PERMIT USE= SEWER CONNECTION .. UL ID 903
*)?..)r SEE NOTE )rii..tt.
PLAT0=
BLOCK=
AREA=
OF BL_DGSu
OWNER=
STREET=
ADDRESS=
001670 PLAT NAME=
LOT=
00000000 F/ A=:
:11' DWELL INGS::'
NULARSK1: J
51'5 S BLAKE RD
SPOKANE !WWA 99216
CONTACT NAME= LEONARD
BUILDING SETBACKS: FRONT= NA
I..I:Ei_.1..
RA'•****k*ii.{l*)I**.'p':.pi •*•)f••)E)t'***d@***** sE..WE:R
PARCEL4= 2254i
MOORE:' S PARK SUFI. TR.: 1 54 VERA
ZONE=lINK DIST1T=
F WIDTH= DEPTH=
WATER DIST ...
CONTRACTOR =' H S S CONSTRUCTION
STREET= 1 1 U 1 1' I::: t/ A i... L.I::: T U.1 R'i AVE
ADDRESS= SPOKANE leer) 99206
ITEM DESCRIPTION
PROCESSING F'Ik::F:
SEWER CONNECTION
ION
.i.. t***** ********)t)e*Yt')l.:li.')ifX:1t.thefn,f*..)1i
PHnNr= 509 9M _
PHONE NLIiiYiI::
NA RIGHT= NA REAR=
QUANTITY
tI
PAYi•il::