1991, 11-01 Permit: 91005539 SewerW. 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
i NUMBER ::: 9'11005539 ISSUED P1 MIT
ii'
:Ji.
DATE= 11/01/91 PAGE= 01
***)r:* PERMIT INFORMATION dPA ii iE *iiii},iii
BLAKE RT')
14A '19206
SEWER CONNECTION - I-JI..1 1) 903
¢OTE. i -i
00:1 ;.;: HAT NAME= BEN'S .\,.....i:.
{)000 I::/A= 1` WIDTH=
T 1;: DWELLINGS= i WATER DIST
>t' 'Jr')t")t"Jl"}t"Jl"P: 'J L' *:* R'JV'}P'Jl' it
PARCH .0 4-20175
WARRI VAN
"{LAKE: RD
°VANE WA 99'706
D[2[ .;;.:::.
W
COI:. F. 1E,- .L_ -:; r
PHONE 926 8964
:ilc,arv, BACKS:
rr;t1'tv'1.... NA i...EFT NA RIGHTNA REAR= NA
IE'Y..jt..;l.il.ii'ii.iC.1rR..lC 9t it 3C 9•..µ.9i..}(..'p..11';iyi. i, i@'IB $i }@ii: 'y} �}LL x. Lpi Erwin )4il'i4 *X* 'ii'iGi@ii:'h'ii ************A
.}i..}i.
4S* 71.**
ITEM
IC. i ION PHONE= 509 926 8964
?WAY AVE:.
I"OVONE I+Ji;Itjlci20z
Cr:iF'TION QUANTITY FEE AMOUNT
I N G FEE E. 7 10,00
CONNECTION 1 40.,00
7i..n: ii..}i. ;i. ii..ji. ii..ji..ji.;i..}t.*:*..pi ii. if .}i: ji. I:> A Y i"i I:: N -[ .............
J LJ I'I I"1 h9 tiT 9r ie.P..u.ir.u..Jr.}6.j;.»iE.q}ii..ri..gpi.}i..h..ri..h. it it )r .h. ik.k. ai.:Ji.
'-1ENT DATE
11/01/91
T!_!TAL. DUE
P MIT TYPE
SEWER PERMIT
RECEIPT PAYMENT Atiffl,INT
826.4 50400
00 TOTAI.. PAID, :50.1:0
" L E AMOUNT
.1 AMOUNTPAID AMOUNT OWING
50400 50400 . 00
50.00 50400 .00
.-.R..::..-.�:.u.__. ::-.v , .E SHAT
TO ..
PRO:. Lr..:':..1 ,� t:. _, �t ( .J 4.! .. . C L 1" f..l I I 1
G::i.; BY: •.Ji.Ji...1:Ei: S'lIr=1TT0
F::!a!f:F' TIIR r::.'.._1{I.11:1..T INFORMATION ISA'VAIL.A.CiL_E AT TING:: COUNTY
UTILITIES
DE
PARl m NT :45 6_3604)
CONTRACTOR OR APPLICANT IS TO.FIELD LOCATE AND CONFIRM THE:
ELEVATION AND POSITION OF SEWER;�'YI,!li PRIOR TO ANY ()'i`iil:::F
.A'uiiT ION
LOCATE F:+URIE:1. CABLES, GAS PIPING, WATER LINES, E;:c_(.
L BEE ,,r 1 YOU I):[t 1456-8000)
FEWER STUBS ARE TO BE CHECKED FIR] R TO CONNECTION TO INSURE.
mini THEY ARE CLEAT AND UNOBSTRUCTED TO TI"llii. SEWER MAIN
99'9'9 gi'i)hitit'i§ii' CALL FOR INSPECTION PRIOR
'R7:t TO COVER ia
YT iiiyhl
inii)iii^ :, Ii1P� NOTICE REQUIRED t395td:yi;
itievinrere 456-3604 ePityikiiit
oe oe ar er ar 9e n'ie 9r s: i•'rn: .J
');: THANK h1j t. (,t LI 9r: it ii *ir
ii' ii # ***H X*******,' — * $iii'