1991, 10-31 Permit App: 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 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 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 RO IEC T NUMBER= Et= 911007 ,41
****X* TF1 1
PENALTIES WILL Tfl ASSESSED F
n111.1%,'01110
:CTE STREET= 1719 S BLAKE E.
ADDRESS= SPOKANE WA 99 206
T ;_t RE.
(_OMMI:_-'f:Ii,
PERMIT USE= SEWER CONNECTION WOi.i=Ch;i:,,..(.
iiAiti SEE NOTE:: )i"if
PLAT
BLOCK=
AREA=
C1 F' BL.DG,S=
OWNER=
STREET=
ADDRESS=
002752 PIAT NAME
00000000
il: DWELLINGS
HENKE
1719 S BLAKE RD
SPOKANE WA 99206
:CONTACT NAME= RON SLOAN
BUILDING .SETBACKS: FRONT= NA
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VEkA
LEFT= NA
DATE= 10/31 /91 PAGE= 01
f ii' ii it )kit 9:
IniOiiii WITHOUT A PERMIT
I P� I. (; I:. i...;l� :': :) -r•', q .1 --1
ZONE= AC.SU
WATER DIET
** SEWER PERMIT
CONTRACTOR= ALWAYS ACTIVE
STREET= PO BOX 141562
ADD/Ri_S'S: ;SPOKANE. WA 94214
ITEM DESCRIPTION
PHONE
PHONE
RIGHT= IVH
DEPTH= R/61::::
NUMBER= 509 922 8500
REAR= NA
.1i..u..iiflii'ti'a'itii****ii' ii'ii inti..» *
QUANTITY
PROCESSING FEE::
SEWER CONNECTION 1
FEE AMOUNT AMOUNT PAID
50,00
50.00 0 0
PEi:FiNi]:T TYPE:
SEWER PERMIT
.t1
T E D
**3r:itii'
BY: .JULIE SI'1AItl3
BY: JULIE SHATT(:i
SEWER STUB AS—BUILT INFORMATION IS AV
UTILITIES DEPARTMENT (45 6-3604)
CONTRACTOR OR APPLICANT IS TO FIELD 1
ELEVATION AND POSITION OF :.'.'EWER STUB
EXCAVATION
.TO LOCATE BURIED CABLES, GAS PIPTvC;:
CAI_i... BEFORE YOU DIG (458-8000)
SEWER STUBS ARE r0 BE CHECKED PRIOR
THAT THEY ARE CLEAR AND UNOBVTRUC T ED T
n;.;r.tt..n..xaerk*m; CALL FOR INSPECTION PRIOR TO
it ?i'dii is h}it ii ii' 24 HOUR NOTICE REQUIRED
iaii..)i..n..&'i@9iii'it 456-3604
PHONE=:: 507 922 A500
FEE AMOUNT
10.00
40.00
AMOUNT OWING..
50.00
50,00
T L {.t 1:; 1..1:
rlllii; COUNTY
:ATE AND CONFIRM THE
:TOR TO ANY OTHER
THANK YOU *§iii*****
LINES, re
ECT I ON 70 INSURE
SEWER MAIN
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