1991, 11-20 Permit: 91007341 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 d 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 specif led
herein or not l 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
PROJECT NUMBER= 91007341
**** E34343E3i 343E 3i ii 3F ii•ii 3i 3i 1i 3F#
ISSUED PERMIT DATE= 11/20/91 PAGE== 01
PERMIT INFORMATION
SITE STREET= 1719 S BLAKE RD
ADDRESS= SPOKANE WA 997.06
PERMIT USE= SEWER CONNECTION -- WOL_FCREST
343434 SEE NOTE 343434
33i3e3e3i*
FARCE I_...= 27541-1026
PLAT;:= 002751 PI..AT NAME= VERA
BLOCK= LOT= ZONE= AGSUH
AREA= 00000000 F/A= F WIDTH=
C (1F BLDG'S= i a DWELLINGS= 1 WATER DIST
OWNER= HENKE:: PHONE=
STREET= 1719 S BLAKE RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME:=:: RON SLOAN
fLJ:i:i._DING SETBACKS: FRONT= WA LEFT=:: NA RIGHT= NA REAR= NA
DIST;.==
DEPTH= R,:
PHONE: NUMBER= 5170E 922 8500
.k.d43c3E.a..tt.9h.ni.g.qd.k.3(.3(..k..k.34.h.3F3i•ri3B3@3@3{3k34** ,SEWER PERMIT .k..)i.3"3i..ii.34.ii..k.ri..k..iP3{3kkd{.MkO)4)i3a34i4Uid434***
CONTRACTOR= ALWAYS ACTIVE:.
STREET= PO BOX 141 562
ADDRESS= SPOKANE WA 99214
PHONE:.: 509 9 27 8500
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
PROCESSING FETE Y 10..00
SEWER CONNECTION 1 40.00
*1* ...3**3f*143(..u. r*3(3a3{**1•3c3i3i1.*3e**.1.*.*ii. PAYMENT SUMh AR¥ 343('3'3'3:''3 3"3.3(..R.3(.3(..A....N..D..3i.A..M.*...)f. 3 ***
PAYMENT DATE RECEIPTa PAYMENT AMOUNT
11/20/91 EIE(45
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 I Y : JUI_.:EE SHA T TO
PRINTED BY: DOM1TROVI;CH, RODIN
SEWER STUB AS --BUILT INFORMATION IS AVAILAHLE: AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIEi_.I) 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 DIC; (456-8000)
SEWER STUBS ARE TO E* CHECKED PRIOR TO CONNECTION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED T() THE SEWER MAIN
)4X3{.X.k.,4.u..Y..k. GAI._I... F0Ft INSPECTION PRIOR TO COVER 343i3i.3{3{.34.tt..tt..x.;{.
)t) )4343414343834 24 HOUR NOTICE
NOT [ CE REQUIRED )X
4(3tR X344
k1@k8h99i;_"3F04 rcmdi
3iI * 3434 k- 31..
}43434 iE 3434.y@.k..yE 3E 3E 3E 3@3E 34.yE.y43i..k.3i 3(•34 r434 **i43r 3434*d4 THANK 3_ H 3434* *3k 343e 34 *3P*v* 3r 34343iu 34343E 34 * 343P #34343e 34343P 3414