1991, 10-01 Permit App: 91006244 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 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 ied
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 T NUMBER= 911006244
****** THIS
DATE= 10/01/91 PAGE= 01
IS NOT A PERMIT ******
PENALTIES WIL..1. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= i _ i i S BLAKE RI)
ADDRESS= SPOKANE. WA 99206
PERMIT USE= SEWER [CONNECTION WOLFCREST
*** SEE NOTE *a.*
PLATt= 000172 PI...AT NAME= BEN'S SUB.
BLOCK= i LOT= 6 ZONE= AG
AREA= 00000000 F/A= F WIDTH=
(1F BLDG'S= 1 t DWELLINGS= i WATER DIST
PARCEL.4= 22 544-2016
OWNER= DRIVDAHL
STREET= i 3i i S BLAKE RD
ADDRESS= SPOKANE WA 99:.'.06
PHONE=
D:i. ,S TO
DEPTH-'
CONTACT NAME:::: LEONARD PHONE NUMBER= 509
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT':::: NA REAR:::: NA
.1(..h..)(••R•*4(***3*A*')t3*-*.3 *)' A•4*A•*••R•*.:,(.4..1.3..4.
SEWER PERMIT
CONTRACTOR= H 6 S CONSTRUCTION
STREET== 11017 E VAI._L_EYWAY AVE
ADDRESS::: SPOKANE WA 99206
.ri..1i.*..*..ri..p..3*** *******h:**n *
PHONE= 509 926 0964
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEi:Ei: AMOUNT AMOUNT PAiD AMOUNT OWING
SEWER PERMIT 50.00 00 50,00
50.00 :.00 50.00
PROCESSED BY: ,JULIE SHATTO
PRINTEEi) BY : .JULIE:: SHATTO
SEWER STUB AS—BUILT INFORMATION 1:S AVAILABLE Al( THE COUNTY
UTILITIES DEPARTMENT (456-3604
CONTRACTOR OR APPLICANT IS TO FIELD I._OCATE ANI) CONFIRM THE:
ELEVATION AND POSITION OF SEWER STUB FRiOR: TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES,GAS PIPING,. WATER LINES, ECT.
CAL... LBEFORE. YOU DIG (45--8000 )
SEWER ,STUBS ARE TO BE: CHECKED PRIOR TO CONNECTION TO INSURE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO Ttl'- SEWER MAIN
)(,O(.,(X,(.u..h* CAL_L.. FOR .I.NSPEt:CTIO_N PRIOR TO COVER *..*..)i*.*.*.*.***
it**,t,ir4 m..)r: .*. `24 HOUR NOT:I.0 1<1QL1il'{I: 1) ******m***
.ri..}i..}i..h:. oi..h..hi i4 *
456-3604 *..g..)(..*.* .)(..4. *..)(..p;.
*.*****4***:**4*****.3..*4*aE3* 3*413** ii YF iE i**** THANK '((3 ******3E**
t.
1964
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