1991, 09-18 Permit App: 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 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= R= 91 005853 APPLICATION
DATE= 09/18/91 PAGE= 01
*3Eif*** THIS IS NOT f'i PERMIT n*ai-** •
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT Fi PERMIT
SITE STREET== 515 S BLAKE RD PARCEI..4= 22541-0615
ADDRESS= S:- SPOKANE WA 9921 6
, r:MIT USE= SEWER CONNECTION — ULID 903
':* SEE NOTE * -*
PLATt= 001670 F'L_AT NAME= MOORE. ' S F:'ARK U i , TR . 1 54 , VERA
BLOCK= 3 LOT= 2 ZONE= L.JNK DISTO== t=
AREA-: 00000000 F/A= F WIDTH= DEPTH= R''1"=
- OF BLDGE= t DWELLINGS= WATER DIST =_
OWNER= MUL.ARSK I , J PHONE= 509 926 6679
STREET= 515 S BLAKE RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= L..EONARDPHONE NUMBER== 509 926 R9A4
BUILDING SETBACKS: FRONT= Ni -^r LEFT= NA RIGHT= NA REAR= N
•A' * * •a.' $: * :* W * yf..n..x..* * •a• * * 'h• * * * I k * * i{..A- .A. •)t• •A: SEWER P E R N I T ik i4 -a::v..R..ie a : it # * •iE . •k• .0 * * •x * •ii •h; 'n: * •v •. a ;: * *:'
CONTRACTOR= H c•. ; CONSTRUCTION
STREET= 11817 r Vr-tLL_EYWAY AVE
ADDREES:== SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE
EEWE:R PERMIT
FEE AMOUNT
50.00
50.00
PHONE= 509 926 8964
CnUANT 1: TY r EE AMOUNT
40.00
AMOUNT F:A rD AMOUNT OWING
.00 50.00
.00 50.00
PROCESSED} BY: JULIE SHATTO
PRINTED BY: JULIE .`.:HA f•_J.O
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UT:r{..,1TIE . DEPARTMENT (45/....3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION 01 SEWER STUN PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT:.
CALL BEFORE YOU DEG (456-8000)
SEWER STUBS ARE TO EE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED Ti1 THE SEWER MAIN
.x...*****x•u CALL FOR INSPECTION PRIOR TO COVER •x:•x3i** •xx*•
*i(-******* 4 HOUR NOTICE REQUIRED *4*******
* R .u.*.yi..ii •N * .k 456-3604 ii * •?i •h• * * * .* * *
n:3i-**)i•ik ii•*•a-*,k**-h:ii**)6)i•*)i-•i(•**•H••}i•v{)t•*)i.. ' ' '
THANK Y . I.J •n• ii- i� ii iE ii =�i 3t ii- is- ai �tt �r it i� 3r >E it •k i; x- r• )r it rt it •k i:• x• * 'r.'• y* •x